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'813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received phane Contact for Pertnitting <br /> Owner's Name Owner Phone Number �' � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS U ' ( LOT# �, <br /> SUBDIVISION �/V p PARCEL ID# � ' — �O <br />� (OBTAINED FROM PROPERTY TAX NOTICEj <br /> WORK PROpOSED B NEw CONSfR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br />' TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �./ � � � , � f �f� � '� <br />, BUILDING SIZE SQ FOOTAGE I� P HEIGHT [D� � <br /> �� � � �-�� � r � � � e� � e �� � � � � � rrr� � � � r�� �T� ��r� � � � i � r� � r� r�r�—errrrrr��— <br />�II OBUILDING S����� VALUATION OF TOTAL CONSTRUCTION <br /> I <br />�� �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br />� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N �cuw�n 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 CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY ('J � <br /> SIGNATURE REGISTERED Y/ �e c wtEn Y/N <br /> Address � fT (,��r License# �/� �� <br /> IIIIIIIIIIIIIIIIIIttllllll 11 11 IIIIIIIIIIIIIIIIIItlltllllllltll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sin Fence installed, <br /> Sanitary Facilities 8 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 /> Directlons:• <br /> Fill out application completety. , <br /> Owner 8 Contractor sign back of application,notarized <br /> If over§2500,a Notice of Commencement is required. (AIC upgrades over 57500) i <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 PERMITfING (copy of conUact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> , Driveways-Not over Counter if on public roadways..needs ROW <br />