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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 Phone Number <br /> Fee Simpler Titleholder Address <br /> � <br /> JOB ADDRESS J l) U ���- `- LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH <br /> R <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR 0. COMM = OTHER IN1 <br /> TYPE OF CONSTRUCTION 0.,, BLOCK 0 FRAME = STEEL = <br /> c _ <br /> DESCRIPTION OF WORK <br /> BUILDINGSIZE 3� X �-� SQ FOOTAGE = HEIGHT <br /> M.BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. <br /> s <br /> =PLUMBING $ QQ <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �v <br /> =OAS = ROOFING 0 SPECIALTY = OTHER fff <br /> FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER � � OMVPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Addres � "y-1� ` License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/'N FEE CURREN <br /> Address License# <br /> p - <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED "Y/ N',• FEE CURREN <br /> Address License# - <br /> MECHANICAL COMPANY <br /> SIGNATURE, REGISTERED YJ N: FEE CURREN LY/N <br /> Address License# <br /> OTHER,;;. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE'- Y/N <br /> Address License <br /> RESIDENTIAL Attach(2).Plot;Plans;,(2)sets.of Building Pl6ns;;(1)set of Energy Forms;R=O=W•Perm'i(for;new,construction, . <br /> Minimum ten(10)`working'days-after'sdbmittal'datee-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(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 /> - <br /> '***PROP.ERTY.:SURVEY required-for all NEW construction. <br /> Directions: � <br /> Fill out application Completely. r <br /> Owner•&Contractdr 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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> "OVER--THE-COUNTER PERMITTING=". ::r.(copy of contractrequired) <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 />