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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . + • - <br /> Date Recelved p one C tact for Parmittln — <br /> Owner's Name ' Owner Phone Number <br /> Owner's Address V Owner Phone Number � <br /> Fee Simple Titlehoider Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT # � <br /> SUBDIVISION � , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK �/ � � � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT � . <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTI <br /> ✓ <br /> QELECTRICAL $ � AMP SERVICE �� PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> �- �� � 3 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE . REGisreRED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN /�} " ✓ COMPANY v✓ G I�l <br /> SIGNATURE (��i REGISTERED N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License �! � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; R-O-W Permlt for new construction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans wl Sitt Fence installed, <br /> Sanitary Facilit(es 8� 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach {3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new consUuction. <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster. Site Woric Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for all NEW construcUon. <br /> Dtrections: <br /> Fill out application completely. <br /> Owner & Confractor sign back of application, notarized <br /> If over s2500, a Notice of Commencement Is required. (AJC upgrades over;T500) <br /> *" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Foohage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />