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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receaved Phone Contact for Permittln — <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titlehotder Na Owner Phone Number <br /> ''�-- <br /> Fee Simple Titleholder Addre�. <br /> JOB ADDRESS , �OT # � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY NOTI E� <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR O COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK , S� v � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � <br /> MECHANICAL ' � ��� <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION � /� � <br /> � � <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER �� / <br /> FINISH� FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �'' " 1' I <br /> BUILDER ' COMPANY �/�I <br /> SIGNATURE REGISTERED Y/ N FEE Cu _ Y/ N <br /> Address ' Ucense # —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE ReGls7erteo Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess License # � —� <br /> OTHER COMPANY <br /> SIGNATURE FtEGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # —� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building 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 Per►nit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcdon. <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 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC upgrades over S7S00) <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 ApplicaUon 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 />