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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 /> Owners Address Owner Phone Number <br /> i <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address /�,./� n <br /> JOB ADDRESS tb 8rt,/b i�i Vt�X� �1` L�i LOT# <br /> SUBDIVISION I PARCEL ID# <br /> i (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSrR e ADDIALT =j SIGN = = DEMOLISH <br /> INSPROPOSED USE S RTALL = CommREPAIR = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK = FRAME 0; STEEL = <br /> DESCRIPTION OF WORK h I NSt 10 N <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING $ VALUATION OF TOTAL CON RUCTION <br /> =ELECTRICAL $ AMP SERVICE G SS ENE GY . ..C. <br /> PLUMBING $ J • <br /> 1 <br /> =MECHANICAL $ VALUATION OF MEC ]CAL INSTALLATIJ /J�6 n y� <br /> =GAS = ROOFING 0 SPECIALTY 0, OTHER l/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO t ��)s <br /> l/� <br /> BUILDER COMPANY 2 <br /> SIGNATURE r REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address ,gLicense# <br /> PLUMBER COMPANY YlYhOr I <br /> SIGNATURE I REGISTERED Y/N FEE CURREN I Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/N I FEE CURREN I Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN I Y/N <br /> Address License# <br /> llfBliiHHli-t€!iili!!.i!!! t!!.E!!iHlii!![li3ii!!i!!it!!I!lii.fliiEiH! [€iili <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,Stornwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortes.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date.Required onsite�Construction Plans,Stornwater 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 contract required) <br /> Reroofs ifshingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />