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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Receive�l (� � �� <br /> Phone Contact for Permittin <br /> Owner's Name � � �' '� Owner Phone Number <br /> Owner's Address �� �(�- Owner Phone Number —� <br /> Fee Simple Titleholder Name `� Owner Phone Number �— <br /> `'~ - -- <br /> - "",..�.,-•-_... <br /> Fee Simple Titleholder Address � : ,...-�"" - - <br /> JOB ADDRESS �"�j I 1 b , 'Z.Q �'� �l I S I_L � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY T/UC NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK B�j� <br /> BUILDING SIZE � SQ FOOTAGE HE ' HT <br /> �UILDING $ ��O� p0 V,q�UATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE Q PROGRESS.ENERGY <br /> [� W.R.E.C. <br /> �PLUMBING $ �✓' <br /> f �� <br /> �MECHANICAL � VALUATION OF MECHANICAL INSTA .TION �1,��� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER , � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��m�� <br /> � C <br /> BUILDER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br />���� Addres License# <br /> THER ��'�; / /,` � - _. "� , � <br />�� IGNATURE ''�--�-..- ���'�-"` y�'I f-�� COMPANY {'�,� ✓� "� �' L <br /> REGISTERED Y I N FEE CURRE� Y/N <br />�` � <br />�^-� ddress License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wo►king days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 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,Construction Plans,Stormwater Plans w/Silt Fence installeG, <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 applicaHon,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500) <br /> " Agent{for the contractor)or Power of Attomey(for the owner)would be someone with notarized lefler from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />