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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name ~ Owner's Address 0 b 2- 2- Fee Simple Titleholder Namel ~~ Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received Fee Simple Titleholder Address JOB ADDRESS LOT # D I o NEW CONSTR r==J D INSTALL D PROPOSED USE D SFR D TYPE OF CONSTRUCTION D BLOCK D DESCRIPTION OF WORK I .~ BUlLDINGSIZE - ~_I .WTAGEI HEIGHT I 1111111111111111111111111111"111111"111111111"'111111"'1111'1'1111111"'111111"'1111"1111'111111111'"1111"'111'1'1111.,'11111,,"111111111 1$ I D ELECTRICAL 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 DNO 11111111111111111111111111111111111111111111'1111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111I111111111 I I I I I I I I I I PARCEL ID#I SUBDIVISION (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH WORK PROPOSED ADD/ALT REPAIR COMM FRAME D D D I D OTHER I OTHER STEEL BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY o W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/ N FEE CURRENT Y/N Address License # COMPANY REGISTERED Y / N FEE CURRENT Y/N PLUMBER SIGNATURE Address License # Address COMPANY REGISTERED Y/ N FEE CURRENT Y/N MECHANICAL SIGNATURE COMMERCIAL Address License # 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I111111111I111111111111111111111111I1111 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 subdivisions/large 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 onsite, 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. License # OTHER SIGNATURE Y/N FEE CURRENT Y/N SIGN PERMIT iii~~~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 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. (A/C 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 on public roadways..needs ROW