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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> � i <br /> Date Received ,a3— � Phone Contact for Pertnittin O�P3 ��o — 1 I <br /> \ i <br /> Owners Name V �V Owner Phone Number <br /> Owners Address d�� � � Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS; �' r � G2 � G LOT# � <br /> SUBDIVISION PARCEL ID# � ��^ — d) �'— �C7�� '(��� <br /> � (OBTAINED FROM PROPERTYTAX NOTICE) � <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP110N OF WORK ��(1�-A $ �O� � � Gti✓� �i\Yl <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � I C�_l0 r <br /> �BUILDING R I/ VALUATION OF TOTAL CONSTRUCTION <br /> '0����i5 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��0,� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHE l...e� UQ� I <br /> IFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUI LDER �COM PANY <br /> SIGNATURE IREGISTERED Y/ N FEECURRE� Y/N <br /> Address License# <br /> ELECTRICIAN �COMPANY <br /> SIGNATURE aecisrerteo Y/ N FEE CURRE� Y/N <br /> Address License# <br />, PLUMBER ICOMPANY <br /> SIGNATURE �REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE ;REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# <br /> OTHER ' ,COMPANY I w I 1°��s Yl �� <br /> i SIGNATURE 'REGISTERED Y N FEECURRE� Y N <br /> Address 3 E � L� License# 7.— O o1 � <br /> I IIIIIIIIIIIIIIIttllllltllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)�set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date� Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 Fortns.R-0-W Pertnit 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 8 1 dumpster.Site Work Permit for all new projecls.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 appiication,notarized , <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the conlractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appliration Only) <br />� Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ; <br />