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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> s• <br /> 1 <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name Owner Phone Number <br /> Owner's Address Z Owner Phone Number <br /> Fee Simple.Titleholder Name q V a /� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS F LOT# <br /> i f /SUBDIVISION PARCEL ID POW <br /> # r ^Z'` �6 "v�/�'©� 0960 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> = INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION 0.= BLOCK 0 . FRAME = STEEL = <br /> DESCRIPTION.-OF WORK. <br /> BUILDINGjSIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING $ w�0� <br /> _ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION. qG <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED!FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> -ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 'Y/ N FEE CURREN LY/N <br /> Address License# <br /> PLUMBERS COMPANY <br /> SIGNATURE vAle�I MA) REGISTERED Y/ N FEE:CURREK Y/N <br /> Address- License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED YJ N FEE-CURREh Y/N <br /> Address License#. <br /> OTHER , COMPANY <br /> -SIGNATURE REGISTERED Y/ N -FEE CURREN Y/N <br /> Address .License# <br /> :RESIDENTIAL Attach•(2)Plot-Plans;,(2)sets.of Building Plaris (1.)set:of'Energy:Forms;R-O=W.Perm'it for,riew:c onstruction,�. <br /> Minimum ten(1'0)�working'days after submittafdate.-'Required onsite;Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> --Sanitary Facilities&1.dumpster;Site Work Permit for subdivisions/large 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 00)working days after submittal date.;..Required onsite,Construction Plans,Stormwater Plans w/_.Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perfnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sefs of Engineered Plans., <br /> ***'PROP.ERTY:SURVEY required for all NEW construction. . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor-signback.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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> `OVER THE;:000NTER PERMITTING (copy of contract required) <br /> 'Reroofs'if shingles Sewers Service Upgrades•A/C': Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />