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, � 813-780-0020 City of Zephyrhills Permit Application Fax-813•780-0 21 <br /> Building Department <br /> Date Recaived <br /> Phone Contact for Permittin <br /> Owner's Name � 4 T Owner Phone Number <br /> Owner's Address < <� � �� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADORESS r" �� <br /> LOT# <br /> SUBDIVISION �--� pARCEL ID# � ? 2 � ` � ' �� <br /> (OBTNNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSiR 8 ADD/ALT [� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL O <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C� <br /> QBUILDING $� Y VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY a W.R.E. . <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( !� � � <br /> �GAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY ` _ r �j �� �� <br /> SIGNATURE �" REGISTERED Y/ FEE CURRE� Y/ N <br /> Address i 1 l � License # � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> /�df@SS <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> I11111111111111111111111111111111 1111111111111111111111111111111111 <br /> RESIDENTiAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Pertnit for new construction, <br /> Minimum ten (10) working days after submittal date. ReqWred onsite, Construction Plans, Stormwater Pians w/ Silt Fence install d, <br /> Sanitary Fadlities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Paye; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) workinp days aHer submittal date. Required onsite, Construction Plans, Stormwater Plans w! Sill Fence install d, <br /> Sanitary Fadlities 8 1 dumpster Site Work Permit for all new proJects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered P�ans. <br /> ""PROPERTY SURVEY reqwred for all NEW conslruction. <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contraclor sign back of applicatian, nolarized <br /> If over E2500, a Notice of Commencement Is required. (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 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 />