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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 Permittin — <br /> Owner's Name �J U�U C���-vl'r`� e Owner Phone Number <br /> Owner's Address ��Q cp � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titlehotder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK L � �G> <br /> BUILDING SIZE SQ FOOTAG HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> LECTRICAL $ ��O �v� AMP SERVICE � PROGRESS ENER � W.R.E.C. <br /> �ov <br /> �PLUMBING $ <br /> J ��� v <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I � <br /> OGAS 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 /> � <br /> ELECTRICIAN COMPANY ���� �G S� �' v��' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �G"4�o-Z`��C.� <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# i� <br /> RESIDENTIAL Attach(2)Plot Ptans;(2)sets of Building Plans;(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 subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery 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(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 application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Powe�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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />