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813-780-0020 City of Zephyrhills Permit A lication <br /> Pp Fax-813-780-0021 <br /> • Building Department <br /> Date Received a — � .-- <br /> P ne Contact for Permitting <br /> � — <br /> Owner's Name <br /> Owner Phone Number <br /> Owner's Address -- �" <br /> Owner Phone Number L <br /> Fee 5imple Titleholder Name � r <br /> Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �� <br /> LOT# <br /> SUBDIVISION , PARCEL ID# <br /> WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEw CoNSTR ADDlALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM C� OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME �� STEEL � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ OTAGE C] <br /> HEIGHT C� <br /> OBUILDING $ � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICA $ AMP SERVICE <br /> � PROGRESS ENERGY � W.R.E.C. <br /> CJPLUMBING $ <br /> �,;' -'r ' <br /> QMECHANICAL $ % ' <br /> VALUATION OF NIECHANICAL INSTALLATIO �� -' <br /> � /�.. <br /> QGAS Q ROOFING SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> C]YES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# C � <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> ^ License# C <br /> OTHER � <br /> SIGNAT COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# C <br /> RESIDENTIA� 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 fnstalled, <br /> Sanitary Facilities&1 dumpster;Site Work Permit 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 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 Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "*"PRQP.fRTY SURVEY required for all NEW construction. <br /> Dtrections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,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 ovmer 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 />