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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � ;; _z Building depattment <br /> Date Received Phone Contact f Permitting — <br /> ,�~ .. <br /> Owner's Name � h �"'� � Owner Phone Nurnber <br /> Owner's Address Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number �� �] <br /> Fee Simple Titleholder Address <br /> JOB ADDRES$ LOT# �� <br /> SUBDIVtSION �� � PARCEL ID# <br /> (QBTAINEd FROM PROPERTY TAX NQTICE) <br /> WORK PROPt�SED e NEw CONSTR 8 ADD1AlT � SIGN Q Q DEMOLISM <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q QTHER <br /> TYPE OF CONSTRUCTION Q BLOCK G] FFtAME � E <br /> DESCRIPTION OF WQRK <br /> BUtLD1NG StZE ���� SQ FOOTAGE�_�� HEIGHT �_� <br /> OB�i����� I'y-!��.t„7p � VALUATION OF TOTAL.CONSTRUCT(ON <br /> L <br /> [�ELECTRICAI. �—� AMP SERVICE Q PROGFtESS ENERGY Q W.R.E.C. <br /> QPLUM8ING �� � <br /> ` <br /> QMECHANICA� $ VALlfAT10N OF MECHANtCAI.INSTA�tAT10N ��0� <br /> "'C <br /> QGAS Q ROQFING Q SPECIAI.TY [� OTHER <br /> FINISHBD FLQOR ELEVATIONS ��� FLOOD ZONE AREA C]YES NO <br /> BIFtCDEi2 COMPANY <br /> SIGNATURE . ,_. Re��S7ERe� Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> ELECTRIC1Afi1 � 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 /> MECHANtCAL � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � L nse# <br /> OTHEF2 �� CONIPAAIY <br /> SIGNATURE REGIS7ERED / FEE CURRE� Y/ <br /> ,,.....,,_„ <br /> Address -� License# � <br /> RESIDENTiAL. � Attach{2)Plot Plans;(2)se#s af Building Plans;{1}set af Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal.`date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster,51te Work Permlt for subdivisionsAarge projects � <br /> COMNiERC1AL Attach�3}camplete sets of BuIld9ng Pla_n.s plus a�tfe Safety Page;{1)set o#Enet�gy Fonns.R-O»W Permit for new cons#nuction. <br /> � Mlnimum ten(10)working days'after submittal date. Requfred onsite,Constructlan Plans,Stormwater Plans w!8ilt Fence installed, <br /> Sanitary Facilities d�1 dumpster.Site Work Permit for all new proJeots.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach{2)sets of Engineered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. - <br /> Direc#1ons: , r� � ` <br /> Fill out application completely. ` � ' <br /> Owner&Conkractoc sign back of applfcaNan,nota�ized � ' � ' <br /> 1f over�2500,a Notice af Commencement is requirad. '.{AtC upgrades over�T500) � -�- -- <br /> " Agent(for the conUactor)or Power of Attomey(far the owner)would be someone with notarized letter ftom owner autho�izing same <br /> DVER THE COUNTER PERMITTING {Front af Application Only} <br /> Reroofs if shingles Sewer,s Service Upgrades.A/C. Fences(PIoUSurvey/Footage) - '� - - -- � -�� - <br /> DrTveways-Not over Counter if an pubEic roadways..needs.ROW � <br /> ��� ' <br />