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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 /' //i/ , Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ©G /LIDS LOT# <br /> SUBDIVISION PARCEL ID# P f� —��— D '®Z-r2®a ® 3� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR 4(DD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION 5/BLOCK FRAME Q STEEL Q ,q <br /> DESCRIPTION OF WORK �� <br /> BUILDING SIZE SQ FOOTAGE= HEIGHT <br /> =BUILDING $ D� VALUATION OF TOTAL CONSTRUCTION Q b� <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING Q. SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA =YES '' NO'', <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/.N r',"'FEE^CURREN :;Y%.N: •: „; <br /> Address License,# <br /> ELECTRICIAN COMPANY <br /> SIGNATUR9 REGISTERED Y/. N.. ":r FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I Y/ N.` " FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y-%. N FEE CURREN Y/N <br /> Address �JJ 5— <br /> License# <br /> OTHER COMPANY JhA C'l: � <br /> �IGNATURE REGISTERED Y/ N. FEE C REN Y/N <br /> Address 4 License# ©® <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets:of•Building Plans;(1)set of.Energy Forms;R-OwW 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 subdivisions/large 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,:Storrnwater Plans w/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 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />