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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - Building Department <br /> Date Received ' -- -- <br /> Phone Contact for Permittln <br /> Owner's Name f'U Owner Phone Number <br /> Owner's Address � 6,> Owner Phone Number � <br /> Fee Simple Titleholder Nam � Owner Phone Number � <br /> Fee Simple Tltfeholder Address <br /> JOB ADDRESS LOT # �� <br /> SUBDIVI310N � PARCEL ID# <br /> (OBTAINED F� PROPERTY TN( � r�cE) DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADDlALT � SIGN C <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM [—� OTHER <br /> TYPE OF CONSTRUCTION [� BL Q FRAME [� STEEL [� [— <br /> DESCRIPTION OF WORK ,Q - `' ��� , <br /> BUILDING SIZE SQ FOOTAGE HEIGHT ` <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY <br /> �] W.R.E.C. <br /> /' <br /> QPLUMBING $ <br /> QMECHANICAL VALI OF MECHANICAL INSTALLATION ��/ ��/ 3 <br /> �GAS ROOFING [� SPECIALTY [ J OTHER <br /> FINISHED FLOOR ELEV TIONS FLOOD ZONE AREA QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # �— — 1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License# �–� —� <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED , <br /> Y F cuRR n Y/ N <br /> Address <br /> c se # <br /> �THER <br /> 51GNATURE COMPANY <br /> REGISTERED Y/ N FE CURR Y/ N <br /> Address <br /> Ucense # <br /> tES�DENTIAL Attach (2) Plot Plans; (2) sets of Building Ptans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) worlcing days afte� submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> :OMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safery Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) working days after submltkal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facili8es 8 1 dumpster. Site Work Permit for all new projects. All commerclal requirements must meet compliance <br /> �IGN PERMIT Attach (2) sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construcUon. <br /> �irections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of appUcation, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over:T500) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> VER THE COUNTER PERMITTING (Front of Appiication Only) <br /> eroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />