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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received Phone Contact for Permittln (p — <br /> hvner's Name Owner Phone Number <br /> hvner's Address � (7 ��/., 7.i� Owner Phone Number �— <br /> �ee Simple Titleholder Name � Owner Phone Number � <br /> 'ee Simple Titleholder Address <br /> IOB ADDRESS LOT # I D <br /> iUBDIVISION � Q�V , PARCEL ID# ID � W� — — D�O ��I (�/ <br /> �OBTAINED FROIiA PROPERTY TAX NOTICE) <br /> IYORK PROPOSED B NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE Q SFR COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � " (�� <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION ���"f Y� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> � �� <br /> QMECHANICAL $� �� � VALUATI�N OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q 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 /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # r <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address L(cense # r <br /> 1AECHANICAL t ' COMPANY En�diR�r�m��r�l- �(!/��ieS <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address /9 0 � License # <br /> �THER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— <br /> 2ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permit for new wnstruction, <br /> Mi�imum ten (10) woricing days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Sitt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> �OMMERCIAL Attach (3) complete sets of Building 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 Facilities 8 1 dumpster. Site Work Permit for ail new projects. All commercial requirements must meet compliance <br /> iIGN PERMIT Attach (2) sets of Engineered Plans. <br /> **'"PROPERTY SURVEY required for all NEW construcUon. <br /> )irecttons: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent (fo� the contractor) or Power of Attomey (for ihe owner) would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (Front of Application Only) <br /> teroofs if shingles Sewe�s Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />