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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received / -- �l L S� J S�Q _ f� �� � <br /> ✓� "� Phone Contact for Permittln .: <br /> Owner's Name Owner Phone Number `7 � <br /> Owner's Address � � Owner Phone Number <br /> Fee Simple Titieholder Name � Owner Phone Number _-� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS \ � LOT # �S <br /> SUBDIVISION �-2 , PARCEL ID# p� � <br /> BTA1 ED FROM OPERTYTAX OTICE) <br /> WORK PROPOSED B NEW CONSTR � 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 /> DESCRIPTION OF WORK `�i �Q� � i � � <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ 1 r ; � � <br /> �ly ��L �D � <br /> OMECHANICAL $ 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 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 , r � � � COMPANY � �-- I.- � � <br /> SIGNATUR � REGISTERED Y N FEE CURRE� Y N <br /> Address D� �� � 5 License # � ( <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # -� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding 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 installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Buliding 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 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 /> "«" SURVEY required for all NEW construcBon. <br /> Oi�ections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is requlred. (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 Applicadon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />