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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �L <br /> cre� �y' <br /> Date Receiva� ' Phone Contact for Permitting Z Z __ � `f � <br /> Owner's Name �(' �- ( ' n M Owner Phot'fe Number <br /> Owner's Address �� �� ��� �� Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J � S �' � � �� � � � LO # C� <br /> SUBDIVISION - PARCEL ID# � I Z. (o Z � l� � c j� �j � �j L> <br /> (OBTAINED FROM PROPERTY TAX NOTIC <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN � Q OEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL O <br /> DESCRIPTION OF WORK m� � �� ��� t � G� � <br /> BUILDING SIZE �_ SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �Q <br /> . <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING �� ' � � <br /> �� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI� � � <br /> �GAS � ROOFING Q SPECIALTY � OTHER 1� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO� <br /> , �_'1.. <br /> BUILDER `� � COMPANY CJ�- ` �-�C1� �'� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y N <br /> Address ' License # 1 �J � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ 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 Llcense # <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 Perm(t for new constructlon, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans / Silt Fence installed, <br /> Sanita3ry Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for ew construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans / Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new proJects. All commercial requirements must mee 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, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over �7500) <br /> '* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizin 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 />