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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> , ' Date Received <br /> Phone Contact for Permttting <br /> Owner's Name 1( y !�` �L Owner Phone Number � �� <br /> Owner's Address �� � Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � LOT# � <br /> SUBDIVISION PARCEL ID# � �/�{0��1 �w Q� 'W 11J <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e N W��NLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> � <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OP WORK b � � �'1� \S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ � VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y!N <br /> i <br /> Address License# <br /> OTHER 1 COMPANY ..xi� �— <br /> SIGNATURE� { GISTERED Y/ N EE CURR Y/N <br /> Address License# Ch� <br /> 111111111 111 1 1111111111111111111 1111111111111111111111111111111 <br /> I RESIDENTIAL a (2)P o lans;(2)sets of Building Plans;(1)set oi Energy Forms;R-O-W Pertnit for new constructlon, <br />� ini um ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> a tary Facilities&1 dumpster;Site Work Pertnit far subdivisions/large projects <br /> COMMERCIAL ach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMff Attach(2)sets of Engineered Plans. <br /> ••"PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (AlC upgrades over b7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> _ _ I <br />