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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> " Building Department <br /> Date Received <br /> Phone Contact for Permtttin <br /> Owner's Name O-� d�� r�t( (j <br /> Owner Phone Number <br /> Owner's Address �3S S , Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � / ��I FI G� /V � <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OB7AINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q [� DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIPTION OF WORK G ( �q�� � p�'� ���L/ <br /> BUILDING SIZE _ SQ FOOTAGE �Z L� HEIGHT � <br /> OBUILDING $ / �� <br /> d VALUATION OF TOTAL CONSTRUCTION <br /> �]ELECTRICAL $ AMP SERVICE Q PRO SS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> I��-�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLA ON <br /> �GAS Q ROOFING Q SPECIALTY <br /> 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER -1 COMPANY , Cf'YI� CQ CC' <br /> SIGNATURE " � REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address 5��� „s /Cj � <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 Fo►ms;R-O-W Permit for new constn�ction, <br /> Minimum ten(10)v�ro�lcing days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit 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&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 8 Contractor sign back of application,notarized <br /> If over s2500,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 Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />