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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receivad • - Phone Contact for Permitting -- <br /> Owner's Idame � Owner Phone Number <br /> Obrner's Address � Owmer Phone fdumber <br /> Fee Simple Yitleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDI!/ISION PAPtCEL IDl� <br /> ~ (OBTAINED FROM PROPERTY TAX NOTICE) <br /> MlORK PROPOSED B NEW CONS7R 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> IPVSTALL REPAIR <br /> PROPOS�D USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIORf � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FO�T E� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> s4ddress License# <br /> PLUttABER COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAPIICAL COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> . <br /> Address 'cense# <br /> OTHER COMPANY <br /> SIGfdATURE REGISTERED Y I FEE CURRE� Y/N <br /> Address License# <br /> RESIDEPlTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMAAERCIAL 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&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGR1 PERflAIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized , <br /> If over 52500,a Notice of Commencement(s required. {A/C upgrades over�7500) � . <br /> •' Agent(for the contracto�)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERNIITTING- . ,(Front:of'Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />