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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting - <br /> Owner's Name �✓�� � �`� Owner Phone Number <br /> Owner's Address � `� I r`��"' Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> .� e � <br /> JOB ADDRESS " LOT# <br /> SUBDIVISION - . — -- - °-PAI2CEL ID# '-- - -- -- - - - --^ - -- - <br /> - - '-- ' - - � ---- ` - - - - (OBTAINED FROM PROPERTY TAX NOTICE) ^ <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE � Q SFR Q COMM 0 OTHER <br /> TYPE OF C�NSTRUCTIOM Q BLOCK FRAME 0 STEEL_ Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE L� HEIGHT <br /> QBUILDING $ J� i Q �VALUATION OF TOTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> 0 <br /> PLUMBING I $ i� <br /> /�� \ <br /> `� V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />� <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 /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilit(es 81 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Build(ng 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 FaciOties 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 construction. . <br /> Directions: <br /> Fill out application completely. . <br /> Owner&Contractor sign back of application,notarized • <br /> If over 52500,a Notice of Commencement Is_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 PERMI7TING: _;, �.':,(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::neetls ROW � � _ <br />