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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> $1 - Phone Contact for Permitting <br /> .......—11—rrrrrrrrr................................................ ... <br /> Owner's Name Owner Phone Number <br /> Owner Phone N <br /> Owner's Address umber <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 NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> a INSTALL REPAIR <br /> PROPOSED USE. Q SFR 0 COMM OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME = STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE I I SQ FOOTAGE HEIGHT <br /> Miiiog IlItIsMisigHilit! <br /> =,BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL r VALUATION OF MECHANICAL INSTALLATION <br /> - , - I X <br /> =GAS ROOFING F--1 SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO. <br /> .BUILDER COMPANY <br /> SIGNATURE REGISTERED l'Y/zN,.--- -FEECURREN LI,4-_K <br /> J <br /> Address -7 License# F- <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y] N FEE CURREN <br /> Address LIcense'# F <br /> PLUMBER COMPANY <br /> -SIGNATURE REGISTERED Y[N FEE CURREN LILN Li <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED -FEE CURREN <br /> Address License# F <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N J FEE CURREN Ly LN <br /> Address License# F- _ J <br /> I I I I I I I I I I I I H+ <br /> RESIDENTIAL Attach,(2):Plot Plans;(2)sets of Building Plans;(1)set of Energy forms;R-O-W Pennitfor new construction, <br /> Minimum ten(10)working days after Submittal date. Requiredonsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislonsfiarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a,Ufe 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 wl Silt Fence installed, <br /> Sanitary Facilities&I 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 <br /> out application completely. <br /> Owner&Contractor signback 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(Plot(Survey/Footage) <br /> Drivewayi-Not over Counter If on public roadways..needs ROW <br />