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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rec�ived phons Contact for Permlttin — <br /> Owner's Name 1�Q� Owner Phone Number <br /> Owner's Address � 1 f�(' Owner Phone Number � —1 <br /> Fee Simple Tltleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS U �� �F LOT# � <br /> SUBDIVISION , PARCELID# ��• • V ( �-I <br /> (OBTAINED FRO�1 PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION �� BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �� �� Sl Z �� <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � J��"�n <br /> / l.� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI ��� -�/ <br /> / �i <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER G� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � _._ � �COMPANY ` <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> . . <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <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 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. Requlred 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 Building Pians 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&1 dumpster.Site Work Permit for all new projects.All commeroial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets ot Engineered Plans. <br /> '"'"PROPERTY SURVEY requlred for all NEW constructlon. <br /> � <br />..+.... �„�,����.,��.��������„��� <br /> D�rections. '+"' � <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement is requfred. (A/C upgrades over 57500) <br />*" Agent(for the contractor)o�Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication 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 />