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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . � <br /> )ate Recelved Phone Contact for Permittin – <br /> �wner's Name �, � � t � Owner Phone Number � . l � ' � / - 1 <br /> �vrner's Address " 1 �1 . �--- � ��ner Phone Number (7l �"I lSl I � � d !� <br /> °ee Simpie Titleholder Name Owner Phone Number �— <br /> 'ee Simple Titleholder Addreas <br /> lOB ADDRESS �� ( � ��) �1.� 11 C� �' . � � � LOT # � <br /> 3UBDIVISION {�►JJ�L�t,c�� PARCELID# � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED e NEW CONSTR B ADD/ALT � SIG� � � DEMOLISH <br /> INSTALL REPAIR � G <br /> PROPOSED USE � SFR � COMM 0 OTHER <br /> f'YPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK eQ--r C�' c�-f� �-�OC� o�� ��S 6 � ��' Sht� S <br /> BUILDING SIZE � 8Q FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �S. <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> ELECTRICIAN COMPANY <br /> 51GNATURE 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 /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # -- 1 <br /> OTHER COMPANY �� �� � <br /> SIGNATURE REGISTERED Y/ N FEE CURR Y/ N <br /> Address •�� �`i � License # l' l• l_' �' i X��� <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) woiicing days after submittal date. Required onsite, Construcdon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIA� Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Pe►mit 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 Permlt 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 consVucGon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner & Contractor sign back of applicaGon, notarized <br /> If over 52500, a Notice of Commencement is requfred. (A/C upgrades over 57500) <br /> " Agent (for the conVactor) or Power of Attomey (for the owner) would be someo�e with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMiTTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />