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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . <br /> iDate Received phone Contact for Permitting — y <br /> Owner's Name � Owner Phone Number V�3 �1���� <br /> Owner's Address (/ Owner Phone Number <br /> Fee Simple Titleholder Name . /l/ Owner Phone Numbe� <br /> Fee Simple Titleholder Address (� <br /> JOB ADDRESS (/ LOT# C� <br /> SUBDIVISION � . PARCEL ID# IGQ�ac� � � ��Z�—�•� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN [� Q DEMOLISH � <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �T ��(a� U� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ �/��j�1 �_ VALUATION OF MECHANICAL INSTALLATION <br /> �7 (�lJ <br /> �GAS � Q ROOFING Q SPECIALTY � 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# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED 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 ��/Z �. TO <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� JQ License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcfion, <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 subdivisions/large 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 wl Silt Fence installed, <br /> /� Sanitary Facilities&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&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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 Applicafion Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />