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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 - G- / Owner Phone Number <br /> Owner's Address 6 w D C9 VIf7 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address •-� <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAM = STEEL = <br /> DESCRIPTION OF WORK 1 Z''��' l f !�' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> =BUILDING $ B 0 VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS Y 0 W.R.E.C. <br /> =PLUMBING $ ,�/► <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI <br /> =GAS I Idl-4 - If <br /> = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE / (� REGISTERED I Y/ N I FEE CURREN L1/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURd REGISTERED I Y/ N FEE CURREN <br /> Address License# <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N—i 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 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 subdivisionsAarge 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(PIottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW: <br />