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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 S 2�3 ( �� Owner Phone Number � <br /> Fee Slmple Titleholder Name Owner Phone Number � <br /> Fee Simple Tltleholder Addross <br /> JOB ADDRESS �� LOT# � <br /> SUBDtVIS10N PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTtCE) <br /> WORK PROPOSED B NEw CONSTR 8 ADDIALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK o J L C� <br /> BUILDING SIZE �—� SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ r� �� AMP SERVICE 2C,�� �J PROGRESS ENERGY Q W.R.E.C. <br /> J • <br /> �PLUMBING �� �}�� �(��� <br /> 1 f <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY Q 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 /> �-- /y� , ...i <br /> ELECTRICIAN COMPANY /� 14/ �✓1 /'�`�'r �-- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � 3 �`t'Y' 33SZ� License# �G/3 00/3�3 � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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# <br /> RESIDENTIAL Attach(2)Plot Plans;(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 Faclflties 8 1 dumpster;Site Work Permit for subdivisionsllarge pro)ects <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 Facilitles 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 requlred for all NEW construcUon. <br /> Direct(ons: <br /> Fill out applicatlon completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgradea 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 PERMITTING (Front of AppUcation Only) <br /> Reroofs if shingles Sewers Servfce Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />