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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name C !� ✓ Owner Phone Number <br /> Owner's Address ! J�� C v o/h � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT # � <br /> SUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �t�V L -��,/ � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE �s'� � PROGRESS ENERGY Q W.R.E.C. <br /> ����a <br /> QPLUMBING $ ���� <br /> QMECHANICAL $ VALUATION 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 CuRREn Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY d'i lg /� � � L � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address , �n 3 C � ,3,�5 License # �G / !7 � �' 3 <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 License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permit for new constructlon, <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans wf Silt Fence installed, <br /> Sanitary Facilities & 1 dumpste�; Site Work Pennit fo� subdivisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcGon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construcbon Plans, Stormwater Plans w/ Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster. 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 constructio�. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> "' Agent (for the contractor) or Power of Attamey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />