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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone ConWct for Permittin -- <br /> �rrrr� Q � <br /> Owners Name � ��/ � T/ Owner Phone Number — �'' �� � U <br /> Owners Address � � Owner Phone Number <br /> Fee Simple Titleholder Name t.�-� �� � �1 ri Owner Phone Number <br /> Fee Simple Titlehotder Address � � --- <br /> JOBADDRESS � LOT# � <br /> SUBDIVISION PARCEL ID# ' � � O �� d� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW cONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ' � L <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E C <br /> �PLUM8ING $ � ! j Zv� � <br /> MECHANICAL $ dy� � VALUATION OF MECHANICAL INSTALLATION / <br /> `I�CJi <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y! N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREN Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL � COMPANY �� bocK � A G <br /> SIGNATURE � REG�STERED Y! N FEE CURREN Y/ N <br /> Address rm7 3 J �� '!�� �/ License # cY�e_� �� c� "Z3 <br /> V <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address License # <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence inslalled, <br /> Sanitary Facilities & 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 Fortns. R-O-W Permit for new construdion. <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 Pertnit 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, notarized <br /> Ii over 52500, a Notice of Commencement is required. (AIC upgredes over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized lerier from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />