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813-780-0020 City of Zephyrhills Permit Application Fax-913-780-0021 <br /> Building Department <br /> Date Received �� 1 Phone Contact for Permittin -- <br /> Owner's Name � Owner Phone Number !�� " ���r� <br /> /� A. , � <br /> Owner's Address � V � c Owner Phone Number <br /> Fee e Owner Phone Number � <br /> e�e-$fmpl'eTifrfioTder Address <br /> JOB ADDRESS S ( ( � T Y' CT � LOT# �� <br /> SUBDIVISION � PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q 0 DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORIL�/ ' l S� f � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> y�i�BUILDING $. ���` /, VALUATION OF TOTAL CONSTRUCTION <br /> (✓ <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �Z,�" <br /> �;! , )u�`� . �! ��' <br /> OGAS Q ROOFING Q SPECIALTY � OTHER /f�) 8" � D <br /> t� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �UILDER " � ' Cp p�y`�' <br /> SIGNATURE �`"� ISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE�isreRe� Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER � COMPANY <br /> SIGNATURE 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 /> 31GNATURE REGISTERED Y I 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 Pertr�it 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 /> COMMERCfAL Attach(3)complete sets of Building 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. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Woric 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 consUuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appiication,notarized <br /> If over i2500,a Notice of Commencement(s 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 PERMITTING (Front of AppUcation 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 />