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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 L�V Owner Phone Number -3 r <br /> / r <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS <br /> 10 LOT#_ <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH <br /> R INSTALL e REPAIR <br /> PROPOSED USE = SFR = -COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = <br /> DESCRIPTION OF WORK (P <br /> BUILDING SIZE SQ FOOT GE HEIGHT <br /> =BUILDING $ �� VALUATION OF TOTAL CONSTRUCTION T" ✓ /�C� <br /> =ELECTRICAL $ AMP SERVICE = PROGRE S ENERG C .0 a& � <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION U <br /> =GAS = ROOFING Q I SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY SCU <br /> SIGNATURE /r REGISTERED N FEE CURREN Y/N <br /> Address ��,g License# <br /> ELECTRICIAN i COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I <br /> PLUMBER I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL I COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Ly/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)workirk ays after submittal date. Required onsite,Construction Plans,_Stormwater Plans w/Silt Fence-,installed, <br /> Sanitary,Facilities&1 dumpster;Site Work Periitfor subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plard-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 late. 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. (AIC 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 contracf required) <br /> Reroofs if shingles . Sewers Service Upgrades A/C Fences(Plot/Survev/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW .:i; <br />