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813-780-0020 City of Zephyrhills Permit A plication Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permlttin <br /> Owner's Name 1 Own P Phone Number <br /> Owner's Address (:D � Own r Phone Number <br /> Fee Simple Titleholder Name Own r Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS s 1 LOT <br /> SUBDIVISION PARCEL ID# <br /> SOBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = (SIGN DEMOLISH <br /> INSTALL a REPAIR <br /> PROPOSED USE = SFR = Comm = THER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME ® STEEL = <br /> DESCRIPTION OF WORK `� , QIA <br /> BUILDING SIZE SQ FOOTAGE= �iEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C. <br /> [PLUMBING $, - <br /> =[MECHANICAL L <br /> VALUATION OF MECHANICP L INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUIMBER COMPANY Y) k y i <br /> SIGNATURE REGISTERED Y/ N. FEE CURREN GG /N <br /> Address [Libil License# C�J— z) <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP <br /> Address License# —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N.. FEE CURREP <br /> Address License# <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 subdivislons/larg projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)s A 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 /> Dlrectl0ns: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$750 ) <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 . (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Fo)tage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />