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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received , — <br /> T _� _� Phone Contact for Permittin <br /> Owner's Name 1 1` ` Owner Phone Number �3�• 3 <br /> Owner's Address �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS S Vv� � LOT# S� <br /> SUBDIVISION � ( Q C. pARCEL ID# ���S' al' VD�' v � OS I O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Q vL ,�.Q.L, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ p lo r � ��� <br /> U I <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR E�EVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y! N <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY �— <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address icense # <br /> PLUMBER � COMPANY �C U i/yV� Ih' <br /> SIGNATURE � REGISTERED Y/ N FEE CURR � Y/ N <br /> Address � Q <br /> License # <br /> M EC HANICAL COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days af[er submittal date Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sarntary Facilit�es 8 1 dumpster, Site Work Permd for subdrvisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Build�ng Plans plus a Life Safety Page; (1) set of Energy Forms R-O-W Permit for new construction <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Factlities & 1 dumpsler 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 completely <br /> Owner & Contractor sign back of application, notanzed <br /> If over E2500, a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " AgeM (for the contractor) or Power of Attomey (for the owner) would be someone vnth notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />