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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 �� �v"�1� <br /> Owner's Name j Owner Phone Number •� <br /> Owner's Address t`I l � Owner Phone Number �— —� <br /> Fee Simple Titleholder Name Owner Phone Number —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS tQ�`1 � � LOT# � <br /> SUBDIVISION 1�-� PARCEL ID� 'O • � �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED e NEW CONSTR 8 ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR �� �� <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCI'ION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK C.-� <br /> BUILDING SIZE � 3q FOOTAGE HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS [� 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 /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> 31GNATURE 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 �t� C � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address f"'� J�S� License# � R � <br /> RESIDENTIAL Attaah(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new canstruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> SaniUary FacfliUes 8�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attaah(3)complete sets of Build(ng Plans ptus 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 FaciHties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attaah(2)sets of Engineered Plans. <br /> "'*"PROPERTY SURVEY required for all NEW consUvcUon. <br /> Direct(ons: <br /> Fill out application aompletely. <br /> Ovmer 8 Contractor sign back of appiication,notarized <br /> If over;2500,a Ndtice of Commencement fs required. (A/C upgrades over 57500) <br /> " Agent(for the contr�ctor)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 �ewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />