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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� _C✓3 <br /> Phone Contact for Permitting <br /> aaaaaI a!( <br /> Owner's Name Corer Phone Number <br /> Owners Address O ner Phone Number <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ( LOT# <br /> SUBDIVISION 1 ``tPARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM = OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> 4 <br /> DESCRIPTION OF WORK c <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING $ b VALUATION OF TOTAL CONSTRUCTION r U <br /> ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. r <br /> =PLUMBING $ - a, <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING = SPECIALTY = OTHER W v' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> , ¢� <br /> BUILDER o COMPANY � <br /> SIGNATURE REGISTERED I YINJ FW CURREN I Y/N <br /> Address License# C Z J (/N t <br /> ELECTRICIAN COMPANY 1 <br /> SIGNATURE REGISTERED I Y/N FEE CURREN I Y/N <br /> Address C \ License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN I Y I N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N I FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ■!!i!!!■i!t!!!!!■!■1!!!.eli!!!!!!!!!■ti■1!!!t!!!!!!ti!!!!!!!!!!!! fi!!!!1 <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,Stomiwater 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 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.(A/C upgrades over$7500) <br /> •• Agent(for the contractor)or Power of Attorney(far 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 />