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813-780-0020 '-'� <br /> City of Zephyrhills Permit Application �- �{ Fax-813-780-O <br /> Building Department <br /> Date Received ; <br /> � � � � � � Phone Contact for Permittin <br /> - I <br /> Owner's Name � r'{_, Owner Phone Number � <br /> Owner's Address ' � � <br /> � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number I � <br /> I <br /> Fee Simple Titlehoider Address I <br /> JOB ADDRESS � �' (� � LOT # I <br /> SUBDIVISION PARCEL ID# - _ �� <br /> (OB AINED FROM PROPER TAX NOTICE) s <br /> WORK PROPOSED B NEW CONSTR ADD/ALT �SIGN �] [� DEMOLISH � <br /> INSTALL e REPAIR I <br /> PROPOSED USE � SFR Q COMM �� OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME �� STEEL � <br /> I <br /> DESCRIPTION OF WORK � [ <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> �BUILDING $ I <br /> VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ �-°_ ;-� AMP SERVICE � PROGRESS ENERGY � W.R.E�.C. <br /> � I <br /> �PLUMBING $ I <br /> MECHANICAL "� � Z" ` I <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY [_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ' <br /> @IJILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' <br /> _ „_ ___�,.— � ' � <br /> License # <br /> ELECTRIC ,(_i( COMPANY ' <br /> SIGNATUR / � REGISTERED N �FEE CURRE� Y/ N <br /> Address 7 �'} 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 License # �] <br /> � <br /> OTHER COMPANY I� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N � <br /> Address License # � {� <br /> t ; ti-Fi <br /> RESIDENTIAL Attach (2) Piot 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 submittai date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence insl- led, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects j <br /> COMMERCIAL Attach (3) complete sets of Building Plans pius a Life Safery Page; (1; set of Energy Forms. R-O-W Permit for new constructio� <br /> Minimum ten (10) working days after submittai date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence ins+ 'led, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for alt 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 /> Dtrections: <br /> Fill out application completely <br /> Owner 8 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 Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />