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813-780-0020 City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> e . <br /> Building Department <br /> Date Received �� �O'.� phone Contact for Permitting -- <br /> Owner's Name � 1l� �'�`� Owner Phone N ber � <br /> Owner's Address ��(�� ��l/ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � SD LOT# � <br /> ; <br /> �� SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ;! WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN 0 Q DEMOLISH <br /> ;� INSTALL REPAIR <br /> ��C PROPOSED USE Q SFR Q COMM 0 OTHER <br /> �.i TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STE <br /> ,; DESCRIPTION OF WORK 1 G�GV��A� ,G <br /> , <br /> ij BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> i!� <br /> i� QBUILDIN J�-�G�� $ � VALUATION OF TOTAL CONSTRUCTION <br /> (5(O <br /> �� ELECTRICAL $ AMP SERVICE <br /> � � .�� 0 PROGRESS.,E,�JE,RGY Q W.R.E.C: <br /> � U�.�� <br /> I� QPLUMBING $ � T <br /> j �l�� <br /> . �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> ' OGAS Q ROOFING Q SPECIALTY 0 OTHER �, � <br /> � �'"��� �- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO `p~ � <br /> �,� <br /> ��` <br /> ' BUILDER � /� COMPANY <br />' �! SIGNATURE « � REGISTERED Y/ FEE CURRE� Y/N <br /> � <br /> � �d ress_ License# <br /> a <br /> � <br /> ; ELECTRI �i �� COMPANY <br /> ' SIGMATURE V' C REGISTERED Y/ N FEE CURRE� Y/N <br /> jAddress License# <br /> � <br /> i PLUMBER COMPANY <br /> ; SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# <br /> , MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ' Address License# <br /> , OTHER COMPANY <br /> , SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> 1 Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-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&1 dumpster;Site Work Permit for subdivisionsJlarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ***"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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 contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />