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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permittin — <br /> Owner's Name 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 LOT# � <br /> SUBDIVISION � —� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �— SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL�C�NSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.0 <br /> OPLUMBING $ <br /> OMECHAMCAL � VALUATION OF,�v1ECHANICAL INSTALLATION <br /> OGAS 0 ROOFING Q SPECIA�TY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOO�ZONE AREA �YES NO <br /> d <br /> BUILDER � �COMPANY <br /> SIGNATURE ` REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN C�IIPANY <br /> SIGNATURE REGI3TERED 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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets f Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working da�s after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fe�ce 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 Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(l,0)working days after submittal date. Required onsite,Construotion 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&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500j <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 , ` Servic�Upgrades A/C Fences(Plot/Survey/Footage) ! ,'' *r :3 ' <br /> - � `. +{ • . . <br /> Driveways-Not over Counter�f on p�blic roadways..needs ROW . 1 • <br /> , <br /> � � _ -•.,�w.... �, . .. <br /> ,M , <br /> `. ..� <br />