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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 Permitting -- <br /> Owner's Name �(. Owner Phone Number � '� o��' �CJ 0� <br /> Owner's Address � � V � l.._ Y� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Add�ess <br /> JOB ADDRESS � 7 0� �I t �(1� ( �1 � S �L ���r LOT # C� <br /> SUBDIVISION Q`l,_. PARCEL ID# ��� � — �,� ��° � �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN 0 MOVE Q DEMOLISH <br /> INSTALL REPAIR , <br /> PROPOSED USE � SFR 0 COMM Q OTHER D <br /> TYPE OF CONSTRUCTION 0 BLOCK � FRAME Q STEEL OTHER <br /> DESCRIPTION OF WORK C� — <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C� <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> f � <br /> � PLUMBING $ � � �p�� <br /> � J <br /> � MECHANICAL $ , VALUATION OF MECHANICAL INSTAL ION <br /> � <br /> � GAS 0 ROOF�NG � SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES ONO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY C-Y (1 ` � r O�" n <br /> SIGNATURE - REGISTERED Y/ FEE CURRENT <br /> 1°I ti a� vs .,.� t�o � 3 Z `' <br /> Address License # 0. � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot 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 submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans pius 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! Sitt Fence installed, <br /> Sanitary Facilities & 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC upgrades over $5000) <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 Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on Public roadways..needs ROW ` <br />