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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Recelved <br /> Phone Contact for Permittin _ <br /> hvner's Name �� CQ Z° Owner Phone Number <br /> hvner's Address " Owner Phone Number <br /> °ee Simple Titleholder Name Owner Phone Number <br /> =ee Simple Titleholder Address <br /> � <br /> lOB ADDRESS {� (,� �� <br /> LOT � <br /> 3UBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED NEW CoNSTR ADD/ALT �_] SIGN Q Q DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> f'YPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK "'�r,C� �3� �, �L � ��� �^ � <br /> �u <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�]ELECTRICAL $ � �� � qMP SERVICE t(' (� �pROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ /`" <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION �� ��� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> ELECTRICIAN � COMPANY [" �� ~ <br /> 51GNATURE REGISTERED � 5 � vt <br /> Y/ N FEE CURREA Y/ N <br /> Address (J License # /� � � ��� ?(' <br /> 'LUMBER COMPANY <br /> iIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> L(cense # <br /> �ECHANICAL COMPANY <br /> �IGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> �THER <br /> IGNATURE COMPANY <br /> REGISTERED Y/ N FEE. CURRE� Y/ N <br /> Address <br /> License # � <br /> ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W PeRnit for new construction, <br /> Minlmum ten (10) woricing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaGilties & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> �MMERCIAL 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. Requlred onsite, ConsVuction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliUes 8� 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> GN PERMIT Attach (2) sets of Engineered Plans. <br /> '*""PROPERTY SURVEY required for all NEW construcGon. <br /> rections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over a2500, a Notice of Commencement is required. (A/C upgrades over s7500) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someo�e with notarized letter from owner authorizing same <br /> 'ER THE COUNTER PERMITTING (Front of Application Only) <br /> �oofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />