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813-780-0020 City of Zephyrhills Permit Application Fax-813-78M021 <br /> Building Department j <br /> Date Received Phone Contact for Permitting 4 � <br /> Owner's Name ( r1 Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> i <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , LOT# <br /> SUBDIVISION �lIlV e r 0 PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN Q = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK f <br /> BUILDING SIZE -� SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ y �r; � <br /> =MECHANICAL $ VALUATION=ICAL INSTALLATION <br /> =GAS = ROOFING SPECIALTY U OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly!N <br /> Address <br /> License# <br /> PLUMBER � COMPANY � f;b , <br /> SIGNATURE T a REGISTERED Y N FEE CURREnK Y/N <br /> Address �.i rr 1 to License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CURREN <br /> i <br /> Address License# <br /> OTHER `(II COMPANY <br /> SIGNATURE f REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# I <br /> . . . . . . . . . . . . IIIIItlllllllllllllllllllllllllllllllllllllllllllllllll <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,Stormvater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for subdivisionsBarge 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 Plans 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&Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> •• Agent(far 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(PlotlSurvey/Foolage) <br /> Driveways-Not over Counter If on public rcadways..needs ROW <br /> � I <br />