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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department � <br /> Date Received ' _ . , � <br /> � �Ph`one Contact for•Permittln " - <br /> Owner's Name ( I x.t , � (' � ��1� Owrner Phone Number 2.�" '�� <br /> Owner's Address ��°� ��fih �`�. Owner Phone Number <br /> Fee Simple Tltleholder,Name l �/r Owner Phone Number <br /> Fee Stmple Titleholder Address , �j� Z� � � ��j"�2 <br /> JOB ADDRESS ��J J Z�t� �j� ` �L ' LOT# � <br /> SUBDIVISION ���� PARCELID# LI'-�'ZI '�dO�D "��'�Q(�—OO�Q(7 <br /> I _ ° (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT" Q SIGN� Q � Q DEMOLISH <br /> INSTALL �REPAIR <br /> PROPOSED USE ' Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q , FRAME Q STEEL Q. _ <br /> DESCRIPTION'OFINORK I�1I '�IVOCO� � �L-I�` S� � p��� <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> QBUILDING $ i��� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY �Q W.R.E.C. <br /> QPLUMBING $ �($ <br /> � � <br /> 0 <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALWTION � <br /> QGAS Q 'ROOFING Q SRECIALTY Q OTHER ��J� <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COM PANY '���1'ei��- <br /> SIGNATURE ' REGISTERED / N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN- COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> I . _ <br /> Address License#` <br /> PLUMBER , , COMP.ANY � <br /> SIGNATURE REGISTERED: , Y/ N ' FEE CURRE�',. . Y/N ' <br /> Address L'icense# - <br />� <br /> MECHANICAL COMPANY � � <br /> SIGNATURE � � REGISTERED „Y/ N . FEE CURRE� Y/N� <br /> - <br /> - Address � ` `' ' � � ' License#'� - <br /> � OTHER � COMPANY <br /> SIGNATURE � • ' " 'REGISTERED Y/ N FEE CURRE� Y/N <br /> Address •� ,� � � �'L'icense# `� ' <br /> RESIDENTIAL- �Attach(2),Flot_Flan§;.(2)sefs•.ofBuililing;Plans;:(1),sefofEnergy�Forms;R-O-W=Permitfornewconstniction, � <br /> , Minirrium ten(.10),working days,after.submittal;date:'Requir"ed'on§ife,Construction-Plans;Stortnwater�Plans w/Sllt Fence installed, <br /> ' Sanitary FaciilUes�&�1�dumpster,�Slte VNork Permit.for subdivisions/large projects � - ' <br /> COMMERCIAL Attach(3)complete�sets of Buiiding Plans plus a Life'Safely Page;'(1)set of Energy Forms.R-O-VV Permit for new construcUon. <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 Pertnit for ail new.proJects:Albcommercial requirements must meet compliance � <br /> 51GN PERMIT Attach•(2)sets of Engineered Plans.,�';;�. •;� �__ , � - <br /> "'"PROPERTY SURVEY required for'aII�NEW construction. . � ' <br /> 7lrections: ., . <br /> Ffll out applicaUon completely. <br /> Owner&Contractor sign back of applfcatlon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over b7500) <br /> " Agent(for the contractor)'or Powerof•Attomey�(forthe°owner)would be someone with notarized letter from owner authorizing same <br /> �VER.THE COUNTER PERMITTING ,__� (Front.of.Application..Only). - • <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways':n'e"eds ROW I <br />