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' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> n Building Department <br /> Date Received J <br /> Phone Contactfor Permitting � { �� — �� � L� <br /> Owner's Name �� � I Owner Phone Number — � <br /> Owners Add�ess I/` Owner Phone Number <br /> Fee Simple Titlehotder Name �.J�..�/l.`�� Owner Phone Number <br /> I <br /> Fee Simple TitleholderAddress I <br /> JOB ADDRESS � v-t � LOT# � <br /> SUBDIVISION I U P ICEL ID# � � L ` V`' d <br /> � I (06TAINEDFROMPROPERTYTAXNOTICE) <br /> WORK PROPOSED NEW CONSTR ADqlALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q � FRAME � STEEL Q <br /> DESCRIPTION OF WORK `1 � ' G L . � <br /> BUILDING SIZE SQ FOOTAGE� L HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ( <br /> lb�q� <br /> MECHANICAL $ �p VALUA ION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> .(. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> ELECTRICIAN 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 I License# � <br /> MECHANICAL � C�-7 ,\ �L/ r� / COMPANY Y'C��Q�C.L. � S L ULC <br /> SIGNATURE L�J� l IlJ �—1 (� Ll� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �p � L� � U �Q(q License# L �� � � <br /> OTHER COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE�. Y/N <br /> Address License# <br /> tlllltllllltllllltllllllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllt <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;()set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal d�te. Required onsite,Construction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Perm t for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans ptus a�Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Per i[for atl new projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required Tor all NEW c nstruction. <br /> Directions:• <br /> Fill out applicalion completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> " Agent(for the contraclor)or Power of Attorney(for the owner)wIould be someone with notarized letter hom owner authorizing same <br /> OVER THE COUNTER PERMIT'fING (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 />