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813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Fee Simple Titleholder Name Owner Phone Number Owner Phone Number I Owner Phone Number 1 Date Received Owner's Name Owner's Address Fee Simple Titleholder Address I I DESCRIPTION OF WORK I c=J ADD/ALT D D REPAIR D COMM D D FRAME D J~ 7~ Che;~SL ~ I I SQ FOOTAGE I I HEIGHT I '.'..1111......................111.....11...111....."..11...111..11'...111.....11....11..1111...11............11......111........'...,...........11 LOT # JOB ADDRESS PARCEL ID#I (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D DEMOLISH SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION B D o I NEW CONSTR INSTALL SFR BLOCK OTHER I STEEL 0 WORK PROPOSED OTHER I BUILDING SIZE D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY W.R.E.C, D PLUMBING 1$ I D MECHANICAL 1$ (~ tJO< ~i) I VALUATION OF MECHANICAL INSTALLATIO D GAS o 1 ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO I I I . ~ r I I I . I I . I , . . I I I I r I I t I . I I . I I I I I I I I . . . I I . I . . . . . I I . . . I r . 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 . . . t , . . , , , . . I I . . . . , . I I . I . . I I BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License # ELECTRICIAN I COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address I License # PLUMBER I COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y/N License # I MECHANICAL ~~/~ SIGNATURE FEE CURRENT License # I /:P2- OTHER COMPANY SIGNATURE REGISTERED Y / N FEE CURRENT Y/N Address License # 1111111111111111111111111I1111I1111I1111111111111111111111111111111111111111111I11111111111111111111111111111111I111111111111111111111111111111111 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 COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (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 SIGN PERMIT Attach (2) sets of Engineered Plans. .".PROPERTY SURVEY required for all NEW construction. 1111111111111111111I1111I111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111I11I1111I111111111111111I Directions: 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 Fences (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW