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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Rece�ved Phone Contact for Permittin 7�Q -- � � <br /> Owner's Name li'l.I v Owner Phone Number <br /> Owner's Address Q �� � �L���i ' li Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> fee SimPle Titleholder Address <br /> JOB ADDRESS �/� LOT�! C� <br /> SUBDIVISION �— PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOS�D USE Q SFR � COMM � OTHER <br /> , <br /> TYPE OF CONSTRUCTION Q BLOCK Q• FRAME � STEEL Q <br /> r �,t <br /> DESCRIPTION OF WORK ��' �N �"LQ,v�(•� <br /> BUILDING SIZE _� SQ FOOTAGE� HEIGHT �� <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ /I�Jl, VALUATION OF MECHANICAL INSTALLATION <br /> i(.���ri <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � --1 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ReGis�Reo Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTEREO Y! N FEE CURRE� Y/N <br /> Address License# � � <br /> MECHANICAL � COMPANY �rfL''�'r,/�� /2 (�!(i1f <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y J 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 aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8 1 dumpster;Site Work Permit tor subdivisionsAarge projects <br /> COMMERCIAL 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,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 construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over t25U0,a Notice of Commencement is requlred. (A/C upgrades over 57500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />