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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparlment <br /> Date Received — <br /> Phone Contact for Permittin _ <br /> Owner's Name � r Owner Phone Number �"�� "� <br /> Owner's Address � � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 g � � �n � LOT# � <br /> SUBDIVISION PARCEL ID# I ��li� � ( � I O ` V � O r U <br /> (OBTAtNED FO pROPERTY T�TicE)DEMOLISH <br /> WORK PROP03ED e NEW CONSTR 8 ADDJALT Q SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK A C �' <br /> BUILD�NG SIZE SQ FOOTAGE C� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY ._�. W.R.E.C. <br /> QPLUMBING a <br /> (� � <br /> �MECHANICAL $ � � � VALUATION OF MECHANICAL INSTALLATI j� <br /> ✓�t-/, <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 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 /> MECHANICA COMPANY � � � ( 3 �l�r �} <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y!N <br /> Address 5 � License# <br /> �I le. <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Constructfon Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary FadifUes 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building P�ans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Ptans,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 PERMtT Attach(2)sets of Engineered Plans. <br /> *""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fili out application completely. <br /> Owner 8 Contractor sign back of applicaHon,notarized <br /> If over 52500,a Notice of Commencement Is required. (A!C upgrades over 57500) <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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-IVot over Counfer if on pubNC roadways..needs ROW <br />