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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 \ <br /> �c <br /> � BuildingDepartment �l Z��� <br /> �ate Recaived <br /> Phone Cont c or Permlttin _ <br /> rivner's Name �� Owner Phone Number <br /> )wner's Address Z... -- Owner Phone Number � <br /> 'ee Simple Titleholder Name . , Owner Phone Number <br /> ee Simple Titleholder Address <br /> OB ADDRESS LOT # � <br /> �UBDIVISION , PARCEL ID# <br /> (OBTAINED FR�OM PROPERTY T nCE) DEMOLISH <br /> VORK PROPOSED B NEW CONSTR ADDlALT �� SIGN <br /> INSTALL 8 REPAIR <br /> �ROPOSED USE Q SFR Q COMM C� OTHER <br /> YPE OF CONSTRUCTION Q BLOCK [� FRAME �� STEEL Q <br /> )ESCRIPTION OF WORK <br /> 3UILDING SIZE SQ FOO AGE�� HEIGHT <br /> �]BUILDING / <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING Q SPECIALTY <br /> � OTHER <br /> =1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 3UILDER COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> _LECTRICIAN COMPANY <br /> iIGNATURE <br /> REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # �— <br /> 'LUMBER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> Llcense # <br /> AECHANICAL COMPANY <br /> �IGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> Li nse # <br /> )THER COMPANY ` <br /> �IGNATURE <br /> REGISTERED Y FEE CURR Y/ N <br /> Address <br /> —' License # <br /> ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Permit for new construction, <br /> Minimum ten (10) woricing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facllities 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 PeRnit for all new projects. All commercial requlrements must meet compliance <br /> IGN PERMIT Attach (2) sets of Engineered Plans. <br /> '"�'PROPERTY SURVEY required for all NEW consVucUon. <br /> irections: <br /> Fill out applicaUon completely. <br /> Owner 8 Co�tractor 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 Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> /ER THE COUNTER PERMITTING (Front of Application Only) <br /> :roofs if shingies Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />