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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received �� <br /> Phon Cont for Pe Ittin __ <br /> Owner's Name �r Owner Phone Number <br /> Owners Address � � Owner Phone Number � <br /> � <br /> Fee Simple Titleholder Na Owner Phone Number <br /> Fee Simpte Titleholder Address <br /> JOB ADDRESS LOT p � <br /> SUBD�VISION PARCEL ID# <br /> (OBTAINED FR�OM PROPERTY T�ricE)DEMOLISH <br /> WORK PROPOSED NEW CONS7R ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ,.�� � <br /> BUILDING SIZE SQ FO T E HEIGHT <br /> QBUILDING $ � �� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICA $ AMP SERVICE Q PROGRESS ENERGY <br /> �] W.R.E.C. <br /> QPLUMBING $ <br /> ,i'� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO r/(1/�'� <br /> 1 � �v- <br /> OGAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYE .. <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# r <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address nse# <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 Facilitles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit 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 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 construction. <br /> Directions: <br /> Fill out application completely. , <br /> Owner 8 Cont�actor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over s7500) <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 PERMI7TING (Front of ApplicaHon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />