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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received � � d^ <br /> Phone Contact for Permittin ����{ <br /> Owner's Name (Y ��j Owner Phone Number �y � <br /> Owne►'s Add�esa Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Numbar <br /> Fee Simple Titleholder Addresa <br /> JOB ADDRESS �� �C. �SZ! � LOT# �� <br /> SUBDIVISION I , PARCEL IDA! •a. • •�•� a <br /> (OBTAiNED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR ADD/ALT SIGN [� DEMOLISH <br /> INSTALL e REPAIR � _,�?>� <br /> PROPOSED USE ,� SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL [� <br /> DESCRIPTION OF WORK � �� - ' � � ( � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING s ' <br /> Q �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.0 <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTAL ( ����� <br /> UTI�N <br /> QGAS � 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 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 y�3 �� � t � 33 J LlCense# � <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)worlcing days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&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 constructlon. <br /> Minimum ten(10)working days after submittal date. Required ons(te,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes 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&Contracto�sign back of application,notarized <br /> If over i2500,a Notice of Commencement Is requlred. (AIC upgradea over:7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTINti (Front of Applicatlon 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 />