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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � <br /> Pho e Contact for Permittfn __ <br /> Owner's Name ; ! �i Owner Phone Number <br /> i �Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ' LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED F�pROPERTY T�ncE)DEMOLISH <br /> VYORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOC Q FRAME STEEL Q <br /> v <br /> DESCRIPTION OF WORK ,` <br /> BUILDING SIZE �— SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRiCAL $ AMP SERVICE Q PROGRESS ENERGY <br /> Q W.R.E.C. <br /> OPLUMBING $ � � j�C�/ <br /> � T <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licens <br /> ELECTRICIAN ' , COMPANY � � � �� ' `� <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREP Y J N <br /> Address Lfcense# <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 Pem►it for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGBties 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 installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2j sets of Engineered Plans. � <br /> '""'PROPERTY SURVEY required for all NEW constructton. <br /> Directtons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC 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 PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />