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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � �. <br /> � <br /> )ate Received , -' � � �� Phone Contact for Permittin — <br /> � � � Owner Phone Number � � � <br /> hvners Name �� <br /> Anrner's Address �� Owner Phone Number <br /> °ee Simple Titlsholder Name Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> lOB ADDRESS LOT # � <br /> 3UBDIVISION �— � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /�s/ T L-L e� GG <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION� Z��� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� <br /> OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFiNG Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � !� �IZ� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> DTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # I <br /> RESIDENTIAL Athach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construction, <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Fadlitfes & 1 dumpster; Site Work Pem►it for subdivisionsflarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. R-O-W Pennit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Constructlon Plans, Stonnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 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 /> Di�ections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over s7500) <br /> " Agent (for the conVactor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />