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813-780-0020 City of Zephyrhills Permit Application 'f Fax-813-780-0021 <br /> Building Department �" G 3�j7 ! <br /> Date Received Phone Contact for Permittin _ <br /> � � � <br /> dwrner's Name Owner Phone Number <br /> Owner's Address � � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Addreaa <br /> JOB ADDRESS LOT# C� <br /> SUBDIVISION � PARCEL ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTiON OF WORK <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING S � D VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING � <br /> ` , Z� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas L(cense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address -- icense# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ FEE REP Y/N <br /> Address License# <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)worlcing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facfllties&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliHes 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 /> """PROPERTY SURVEY`required for all NEW construcUon. <br /> Directlons: � <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of applicaHon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (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 />