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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Address Fee Simple Titleholder Namel Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Name LOT # JOB ADDRESS PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK PARCEL ID#I ;2Y -~Co -~ \ - 60;)..0. bOOOO . 0050 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D D D D DEMOLISH SUBDIVISION DESCRIPTION OF WORK B D D ADD/ALT REPAIR COMM FRAME OTHER STEEL I D WORK PROPOSED OTHER I BUILDING SIZE .~ I SQ FOOTAGE I HEIGHT D 1$ I D ELECTRICAL 1$ I~ D 11 tJ(;1 I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES [:]NO 11111111111111111111111111111111111111111111I1111111111I111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111 I AMP SERVICE D PROGRESS ENERGY D WR.E.C, BUILDING VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION Address COMPANY REGISTERED BUILDER SIGNATURE Y/N FEE CURRENT Y/N Address ELECTRICIAN SIGNATURE License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL I SIGNATURE Address I OTHER I SIGNATURE ~~I ~~# 111I111111111111111111111111111111111111111111111I11111111111111111111111111111I11111111111111111111111I111111I1I1111111111111111111I1111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects Attach (3) sets of Building Plans; (1) set of Energy Forms, R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance Attach (2) sets of Engineered Plans. .._.PROPERTY SURVEY required for all NEW construction. COMPANY REGISTERED Y/N COMPANY REGISTERED Y/N COMMERCIAL SIGN PERMIT Di~~~ii~~~': I I . I I I I I . . I . I . . . I . . I . I . . I . I . I . . . I I . I I I I . . I I I I I . I I I . I I I I I . . I I . I I I . I I I . I I I I . I I I I . . I I . . . . I . I . . I . I . . . . I . I . I I I I . I . . . I I I I . . . I I . . . I I I I . I . I I I I I Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000) .. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey/Footage) Driveways-Not over Counter if 00 public roadways..needs ROW