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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received — � _ Phone Contact for Permittin ,Sa ��� � r � � <br /> Owner's Name �� �� Owner Phone Number <br /> Owner's Address Owner Phone Number � <br /> Fee Simple Titleholder Name �— —� Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � L S � V-f �Z i�I � � LOT# �� <br /> SUBDIVISION 1(/�� � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK /Z[G✓ /} C U �� � ���� �� <br /> BUILDING SIZE I � � SQ FOOTAGE �U 7 HEIGHT _] <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION `�GI �� 3 <br /> ,f'� <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> �� �j��l <br /> QPLUMBING $ �r� � <br /> d � � ,8� ,�� <br /> MECHANICAL $ � �j�� VALUATION OF MECHANICAL INSTALLATION �(� ��`n <br /> dr n rv <br /> �� �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER 3 m�✓��� r- <br /> � U � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# L l`I �( � ( U <br /> MECHANICAL ��_, COMPANY <br /> SIGNATURE ---� _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �� l�'�t � � f"'C License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conshucaon, <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 subdivisionsAarge 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 wl Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster.Sfte 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 consVuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 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 from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C F'iences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />