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813-780-002Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permtttin <br /> Owner's Name <br /> Owner Phone Number <br /> Owner's Address � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name � <br /> Owner Pho�e Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� -- % <br /> ` LOT# C] <br /> SUBDIVISION PARCEL 10!! <br /> WORK PROPOSED B (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NEW CoNSTR ADD/ALT � SIGN O Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM L� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE�� <br /> HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�]ELECTRICAL $ AMP SERVICE <br /> Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ -- <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> [�]GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> �YES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address � <br /> License# �— <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> OTHER <br /> 31GNATURE COMPANY <br /> REGISTERED Y/ N FEE CURREP Y/N <br /> Address <br /> 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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facitities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERGIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(11 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 ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consVuction. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> w. If over s2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appllcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />