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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �f`�� <br /> � <br /> Date Receivec,l �/ % � iS <br /> � � I 3 Phone Contact for Permittin SL cv� _ v <br /> Owner's Name r.�cn� � Owner Phone Num6er <br /> Owner's Address Z�( � � �� V �I �� Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Addresa <br /> � JOB ADDRESS rrI LOT# �� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER o <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK x �"�JGt ' �Gr � ; yv ,� �• � �oD � <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> �BUILDING $ (,(�� o P VALUATION OF TOTAL CONSTRUCTION <br /> % <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /�'� ��C � <br /> (/ <br /> ✓� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLAT�ON �� ,,�� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER 1..� ���� COMPANY L OB � <br /> SIGNATURE J�' '� \ REGISTERED Y/ N FEE CUR Y/N <br /> Address D 1��I S F 3 35 25 License!� ��� 1,3 2�2�> � <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 /> Address License# <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new conshuction. <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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over;T500) <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 shingies Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />