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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> [fate Received <br /> Phone Contact for Permittin __ <br /> Owner's Name Owner Phone Number <br /> Owvner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS V� D LOT p �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM PROPERTY T�rice)DEMOLISH <br /> NVORK PROPOSED NEW CONS7R ADD/ALT C� 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 �— � gp FOOTAGE� HEIGHT <br /> OBUILDING a <br /> �,Cll� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ r-^ + <br /> � v dt <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� <br /> OGAS Q ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIA COMPANY �dGt($ � � <br /> SIGNATURE C �- <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Addre License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <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 Pennit for new construction, <br /> Minimum ten(10)wo►king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGflties&1 dumpster;Site Work Permit for subdivlsionsAarge projects <br /> COMIIAERCIAL Attach(3)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Permit for new construcdon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oi Engineered Plans. <br /> •""PROPERTY SURVEY required for all NEW constructlon. <br /> Directtons: <br /> Fitl out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> .. . —...._. <br /> Agent(for the contractor)or Power of qttqmey(for the pwner)would be someone with notarized letter from owner au�ti;bnzing same;'"° � <br /> OVER THE COUNTER PERMITTING (FronF of AppNcation 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 />