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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivgd O �—Z S — i� Phone Contact for Permittin � '7�Q s,s�j <br /> Owner's Name f/ �) - f /1 �� ,� Owner Phone Number �aj " � �� � <br /> Owner's Address � ?, j Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION �— PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1MORK PROPOSED NEw CONS7R 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF VVORK 1f'YI C�°, � I S �'I( � � i�/I -f� �Y01?�' � �{-D z D� f ,� O� <br /> BUILDING SIZE � � Sq FOOTAGE HEIGHT � <br /> QBUILDING $ 1 S�� �� VALUATION OF TOTAL CONSTRUCTION � � <br /> I�� � <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �� (�� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �� � <br /> r - �s <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER lf� � �; <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �LUYI �� <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# C <br /> AAECHANICAL COMPANY C— <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# C � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mlnimum ten(10)wo�lcing days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <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 /> ""'PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over a7500) <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 Upgredes A/C Ferces(PIoUSurvey/Footage) <br /> Driveways-Not over Counter it on public roadways..needs ROW <br />