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813-780-0020 City of Zephyrhills Permit Application Fax-ti13-7ttU-U011 <br /> Building Department <br /> , ' <br /> Date Recefved Phone Contact for Permittin –(�}QO� <br /> ,�/- / <br /> Owner's Name ! ( � Owner Phone Number � � y � 2 <br /> Owner's Address Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S Z � — S� Z- � �' 1 d� + G �� LOT # � <br /> SUBDIVISION - PARCEL ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �— � SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ��PLUMBING $ � O2 S ,� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,,,,.'' �(,l � <br /> � r <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address ' License # —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # � <br /> PLUMBER COMPANY l��'j LUl�G/� �C <br /> SIGNATURE REGISTERED Y/ N EE 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 /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buliding Plans; (1) set of E�ergy Forms; R-O-W Permit for new construction,. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster; Site Wortc Permit for subdivisions/large projscts <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Ufe Safety Page; (1) set of Energy Forms. R-O-W Permit for new construciion. <br /> Minimum ten (10) wa�icing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster. Site Work Permit for all new projects. All commercial requfrements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> "' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />