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&13-780-n020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivgd � Phone Contact for Permtttin � "z � __ f <br /> Owner's Name � SS- Owner Phone Number � 3,' � � <br /> Owner's Address � ��'` Owner Phone Number <br /> Fee Simple Titleholder Name � -� Owner Phone Number � <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS � �� � ,� � <� LOT# �� <br /> � <br /> SUBDNISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN Q [� DEMOLISH <br /> iNSTALL � REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK `��C L'JO� <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> OBUILDING $ l , ��� VALUATION OF TOTAL CONSTRUCTION <br /> t� <br /> QELECTRICAL ($ -� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> L-_ <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �. � COMPANY <br /> SIGNATURE � z�'`�r'Q" ���` 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 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 _ Recis�Re� 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 Fadlities&1 dumpster;Site Work Permit tor subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 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 required for all NEW consVucUon. <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 E7500) <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 Service Upgrades .A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />