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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 � � — �`7� <br /> Owner's Name L Owner Phone Number $��j° �(o�—�J�-(�j <br /> Owner's Address � �,t , Owner Phone Number �i 3- ��oa—��i�y � <br /> Fee Slmple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3$ l U�J � 1 v`e- � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ .�� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I <br /> y 3�� � I� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I 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 CURRE� Y/N <br /> Address License# �— � <br /> MECHANICAL � COMPANY �eC ..Jr(' G2 U� I' � <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address .�•�X l 1 O �•i�t 3�� License# �„�1 �l 5�[G�? � <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 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,Conshuction 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 52500,a Notice of Commencement Is required. (A/C 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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />