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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �"' ` � 3 Phone Contact for Permittin � �P -- ` <br /> T�-�_r_�_ <br /> i .i- <br /> Owner's Name \ (/�i'� � Owner Phone Number <br /> Owner's Address � / / I Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Numbe� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I GI� a LOT# � <br /> SUBDIVISION �� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CoNSTR B ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 5��� � N� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �"�"� <br /> �BUILDING $ r' �' �r� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R E C <br /> OPLUMBING $ ��,/�C/C/� <br /> ll T 7 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> �.�-r.�Fl— �.--.-+�G--. L• <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y f 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 :��i y w'—C <br /> SIGNATURE REGISTERED Y/ N EE CURREN Y/N <br /> t <br /> Address •d• License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Budding Plans,(1)set of Energy Forms,R-O-W Permd for new construction, <br /> Minimum ten(10)working days after submittal date Required onsite,Constructwn Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster,Site Work Permit for subdrvisrons/large pro�ects <br /> COMMERCIAL Attach(3)complete sets of Bwlding 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 submdtal date Reqwred onsite,Constructwn Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facdities&1 dumpster Sde Work Permd for all new pro�ects All commercial reqwrements must meet comphance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans <br /> ""PROPERTY SURVEY reqwred for all NEW construction <br /> �.-�����F� _ ���"F� <br /> Directions:• <br /> Fdl out apphcation completely <br /> Owner&Contrector sign back of app6cation,notanzed <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicafion Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />