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813-780-0020 City of Zephyrhills Permit Application Fax a 780-0021 ,/ ,[� <br /> ® (.S <br /> � <br /> � Building Department (r')� In CCpS1'1tiC17dn' <br /> cpr <br /> Date Received Phone Contact for Permitting <br /> Owners Name i C Owner Phone Number J <br /> Owners Address 2- S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .3 /� ' LOT# <br /> SUBDIVISION evq f�dt PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX <br /> WORK PROPOSED e NEW CONSTR ADD/ALT = SIGN =NOTILE)DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK e= FRAME = STEEL = V <br /> DESCRIPTION OF WORK , ) ✓CCee%q CO r `t r 5 9 j <br /> BUILDING SIZE kox i SQ FOOTAGE HEIGHT r---= <br /> ttttttttter �� r � n <br /> =BUILDING $ Pl VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ n !�V <br /> �} / <br /> =MECHANICAL $ . VALUATION OF MECHANICAL INSTALLATION (� <br /> =GAS = OOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> • r <br /> BUILDER / :����CoMPANY <br /> SIGNATURE REGISTERED FEE CURREN I /N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREN I Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address i License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllll <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,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 /> —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(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 (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 />