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813-780-0020 City of Zephyrhills Permit Application <br /> Fax-813-780-0021 <br /> Building Department <br /> Date Received �Q �� Phone Contact for Permittin � J a'� " � <br /> Owner's Name <br /> � � Owner Phone Number 7� b � L� 7 `� <br /> Owner's Address ( U fi �/ Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS [ S �� � � LOT # � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT C� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /� � � / � `-'" � ° " � ���� ( A h <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS,�,F�AfERGY Q W.R.E.C. <br /> �PLUMBING $ G � G � �� ` � �� � <br /> / <br /> QMECHANICAL $ � VALUATION OF MECHANICAL INSTAL TION <br /> QGA OOR ELEVATION � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FL FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> License # <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> License # <br /> Address <br /> c a (J �p �( �1 N <br /> PLUMBER <br /> COMPANY s ����,� <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � � �r V � / /� ��5 � License # o <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> License # C <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> License # <br /> Address <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 i�stalled, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Buitding 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 Facilitles & 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 /> Dlrections: <br /> Ffll out apptication completely. <br /> Owner & Contractor sign back of application, notarized rades over 57500) <br /> If over 52500, a Notice of Commencement Is required. (AIC upg <br /> •* Agent (for the contractor) or Power of Attomey (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 (PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />