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e�3 ���-002o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date,Receivet! Phone Contact for Permlttln — <br /> Owner's Name Owner Phone Number '�� <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titieholde� Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , � LOT # �� <br /> SUBDIVISION . PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT [_] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [� COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL � <br /> DESCRIPTION OF WORK �/ � �'' /�/ G ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> /,�� ��-� <br /> QPLUMBING $ <br /> ( 2 � l 5' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILUER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ` �� <br /> ELECTRICIAN /,� , � �Q ,/ COMPANY � � <br /> SIGNATURE ��f%� �� � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> .. <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 # � <br /> OTHER COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/ N <br /> Address Llcense # <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; Slte Work Permit fo� 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 constructlon. <br /> Minimum ten (10) working days aRer submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 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 /> 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. (A/C upgrades over ST500) <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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />