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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone ontact for PermitUn __ <br /> ' 3 _ � <br /> Owner's Name Owner Phone Number <br /> Owner's Addresa � � fi� �'�` ' 1 5 Owner Phone Number � <br /> Fee Simple Titleholder Name - Owner Phone Number � <br /> / <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS � � 5 � ' S � S L� � LOT# � <br /> SUBDIVISION PARCEL IDA� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT Q SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � S L Q � <br /> DESCRIPTION OF WORK Q. Q S�'1 �f� e,S Q Q, <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> BUILDING $�I� Sb p'D _ VALUATION OF TOTAL CONSTR4JCTION <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ <br /> �3v <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � � � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �v <br /> BUILDER / ' COMPANY � <br /> SIGNATUitE v REGISTERED Y/ N FEE CURREP Y/N <br /> � Addreas License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICA� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE _ Re�isTeReD Y/ N FEE CURREP Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)seb of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)worfcing days after submittal date. Required onsite,ConstrucUon Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 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,Consuuction Plans,Stormwater Plans w1 Silt Fence installed, <br /> Sanitary Faciflties&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 /> Directlons: <br /> Fill out applicatlon completely. <br /> Owner 8 ConUactor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over t7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aufhorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appliption Only) <br /> Reroofs if shingles Sevvers SeMce Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />