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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received phone ConWctfor Pertnittin <br /> -r-rrrrr- -- <br /> i --� <br /> Ownet's Name Owner Phone Number U <br /> Owners Address��_ � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� Y LOT# � <br /> SUBDIVISION PARCELID# JO � -ql •QLZO �C.�L�O ` O�'J�L'V <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER '-- <br /> TYPE OFCONSTRUCiION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP710N OF WORK � C O � �� l f S S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ^ <br /> �"j 3l� � <br /> �MECHANICAL $ ;!� VALUATION OF MECHANICALINSTALLATION <br /> � <br /> �GAS Q ROOFiNG Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# � <br /> PLUMBER COMPANY �- <br /> SIGNATURE GISTERED Y I N FEE CURREN Y/N <br /> Address ' License# <br /> MECHANICAL ' COMPANY V 'S }� � �' '�e ' � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N • <br /> Address l 3 License# �� � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTiAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWCtion, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary Fadlities 8 1 dumpster;Site Work Pertnit for subdivisions/large projecls <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,ConsWCtion Plans,Stormwater Plans w!Silt Fence installed, <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 application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,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 fmm 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'rf on public roadways..needs ROW <br />