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. 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> r <br /> Date Received 35� ,� � � _ g � <br /> Phone Contact for Permittin <br /> Owner's Name �� �� Owner Phone Number 8 l 3 � 0 Q` �v ��1 <br /> Owner's Address � � Owner Phone Number <br /> Fee Simple Tltiehoider Name �_ — 1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT # � <br /> SUBDIVISION , PARCEL ID# � �� �(J —� l�"' QO I O`" 0��� ""' O �J(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK l� �i /Z <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ /� VALUATION OF MECHANICAL INSTALLATION /� I� <br /> � "! � � • � � � � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I 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 �s G v � <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� / N <br /> Address ,� .�U � ' � (..� License # G �`�� S � 5 / � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Requlred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpste�; 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 construc6on. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application comp�etely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC upgrades over;7500) <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 shingies Sewers Service Upgrades A!C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />