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813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Bwlding Department <br /> Date Received � Phone Contact for Pertnitting - "L lJ �` <br /> ��� r � �r - rT <br /> Owners Name ���� Owner Phone Number <br /> Ownefs Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ' LOT # � <br /> SUBDIVISION �dG� ��_� PARCEL ID# - � - 7 - - <br /> (OBTAINED FROM PROPER7Y TA% NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK � <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 $ ��j /n� <br /> �J / { f�/�`h'�t'_ � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� , � <br /> ���?� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE R6 ISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED / FEE CURRE� Y/ N <br /> Address � License# �� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y! N <br /> Address �icense # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> Illllllllllllllllllllllllllllllllllllllllltllllllllllllllllllllllll <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bwiding 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 & 1 dumpster, Site Work Permit for subdivisionsflarge 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 construclion. <br /> Minimum ten (10) working days after submittal date. Required onsde, Construction Plans, Stormwater Plans w/ Silt Fence mstalled, <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 construction <br /> Directions: • <br /> Fill out apphcation completely <br /> Owner & Contractor sign back of application, notanzed <br /> If over 52500, a Notice of Commencement is required. (AIC upgrades over $7500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone wdh notanzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fronl of Application 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 />