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. 813-780-0020 City of Zephyrhills Permit Application � Fax-813-780-0021 <br /> � Building Department n .' f <br /> /� Vv U� <br /> Date Reteived (O ��� �/ phone Contact for Partnittin � 1 C�C1 — � <br /> Owners Name `� Ownar Phone Number <br /> OwneY's Address `\ �(7 qf1 � Owner Phone Number <br /> Fee Simple Titleholder Name Y� Owner Phone Number <br /> Fee Simple Titleholder Address ✓`_ � <br /> JOB ADDRESS "1 LOT # � <br /> SU6DIVISION PARCEI ID# ' lo — -- � �— U <br /> (OBTAINED FROM GROPERTY TAX NO710E) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> i � <br /> DESCRIPTION OF WORK �� r L � � � �� <br /> Q � , , .�,� ���y� <br /> BUILDING SIZE SQ FOOTAGE I � C HEIGHT / <br /> �BUILDING $ M VALUATION OF TOTAL CONSTRUCTION ` <br /> V� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �• ��✓ �` <br /> � � �o� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED Y( N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER �� COMPANY � (� C <br /> SIGNATURE � REGISTERED Y! N FEE CURRE� Y I N <br /> Address � � ��c L�j3$(! � License # � C� <br /> 1111111111111111111 111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; 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 Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-0-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w! Silt Fence installed, <br /> Sanitary Facilrties 8 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 /> Dvections: • <br /> Fill out application completely <br /> Owner 8 Contractor 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 /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIOUSurvey/footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />