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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple.Titleholder Name Owner F_ <br /> Phone Number <br /> Fee Simple,Titleholder Address�/ <br /> JOB ADDRESS Qi LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0 COMM = OTHER <br /> TYPE OF CONSTRUCTION Q, BLOCK <br /> / Q FRAME 0L STEEL Q <br /> DESCRIPTION OF WORK <br /> i <br /> 'BUILDING;SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED:FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/`N FEE CURREN Y/N <br /> Address License# <br /> A <br /> PLUMBER' COMPANY <br /> SIGNATURE REGISTERED - .Y/ N" �FEECURR <br /> Address rbLicense# R�0 <br /> MECHANICAL COMPANY <br /> SIGNATURE . ' REGISTERED Y./ N-• FEE,CURREn <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 Plans;'(1)set-of Energy Forms;R-O-W.Permit.for.Inew construction,.. <br /> Minimum-i ri:(10)working days after subrnittal`date -Required onsite,Construction Plans;Stormwater'Plans-w/Slit 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(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 /> ""PROP.ERTY,SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor,'sigm.back of,application,.notadzed. <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 /> -OVOCTHE.COUNTER 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 />