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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buildfng Department <br /> � � -- ��'� <br /> Date R�cei;ved _� � � 3 ` Ph ne Contact for Permittin �� <br /> i /� <br /> Owner's Mame � /r Owner Phone Number �C� '�� � ! � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS S� � C �g�'yl LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT [�' SIGN Q Q DEMOLISH <br /> B INSTALL e REPAIR � <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTIOPI Q BLOCK FRAME S EL Q <br /> DESCRIPTION OF WORK � � e /�'W <br /> BUILDING 51ZE � SQ FOOTAGE HEIGHT • <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �`�LECTRICAL $ �-�,n � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> Uv <br /> OPLUMBING $ �� <br /> . ,S2 <br /> OMECHANICAL� $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY.O OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER CORAPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY Gt1� �(�'CC <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# ���V !3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � COMPANY <br /> SIGNA�TURE �• 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 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 subdivisionsAarge projects <br /> COMMEItCIAL 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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> I Sanitary Faciflties 8 1 dumpster.Site Work Permit for all new projects.Ail 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&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement(s required. (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 PERMITTIMG (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 />