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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . <br /> Building Department <br /> )ate Received Phone Contact for Permittln � <br /> rnrner's Name J G{/) Q Owner Phone Number / � <br /> lwner's Address �� /°�'' 1�� Owner Phone Number <br /> 'ee Simple Titleholder Name Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> IOB ADDRESS <br /> � �L . � "" LOT # � <br /> iUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IYORK PROPOSED e NEW CONSTR e ADD/ALT �] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 'ROPOSED USE Q SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q B OCK Q FRAME � STEEL Q <br /> JESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE I D HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ ) VALUATION OF MECHANICAL INSTALLATION <br /> f9 <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # r <br /> ELECTRICIAN � � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER � COMPANY <br /> 51GNATURE � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY I�L._. <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ul/ Oc.�.C�f l� Q j�l ���3� License# <br /> DTHER COMPANY <br /> 51GNATURE REGiSTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) woricing days after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> *"""PROPERTY SURVEY requlred for all NEW construcUo�. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is requl�ed. (A/C upgrades over 57500) <br /> '" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Applica6on Only) <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />