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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner's Address Fee Simple Titleholder Name Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION WORK PROPOSED B NEW CONSTR INSTALL BUILDING SIZE PROPOSED USE TYPE OF CONSTRUCTION PARCELlD#113 -~<o~ZI Oi40-00CXX:J - lOL~O (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D ADD/ALT REPAIR COMM FRAME D D D DEMOLISH OTHER I STEEL D OTHER I DESCRIPTION OF WORK HEIGHT I I${~ cr~6 I D ELECTRICAL( 1$ I D PLUMBING 1$ I ~ ::HANICA~ ROOF;~G ~ VAL~::::: M~ANI:~::TALLATION FINISHED FLOOR ELE~~ r--- FLOOD ZONE AREA DYES DNO 11111I11111111111111111111111111111111111111I111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 o BUILDING BUILDER SIGNATURE VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o D W,R,E.C, PROGRESS ENERGY COMPANY REGISTERED FEE CURRENT Y/N Y/N Address License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Y/N FEE CURRENT Address License # PLUMBER SIGNATURE Address COMPANY REGISTERED Y/N Y/N FEE CURRENT License # 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 onsile. Construction Plans, Stormwater Plans wI 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 wI 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. MECHANICAL SIGNATURE Address OTHER SIGNATURE Address RESIDENTIAL COMMERCIAL SIGN PERMIT COMPANY REGISTERED COMPANY REGISTERED Di~~~ti~~~': . 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 AlC Driveways-Not over Counter if on public roadways..needs ROW Fences (PloUSurvey/Footage)