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813-780-0020 City of Zephyrhills Permit Application ' Fax-s�a-�so-oo2� <br /> Building Department <br /> � <br /> Date Received , - Phone Contact for•Permittin` - ° _ ' ` . ' <br /> Owner's Name � � Owner Phone Number l�f� - <br /> / - � <br /> Owner's Address �'�� ��� Ql���l�C Owner Phone Number <br /> Fee Simple Titleholder,Name Owner Phone Number <br /> Fee Simple T(tleholder Address � <br /> JOB ADDRESS � ��P C� � LOT# � <br /> SUBDIVISION PARCEL_ID# ������`��U��-'��IdU� ��� <br /> � _ BTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' NEW CONS7R i4DD/ALT' �SIGN� Q Q DEMOLISH <br /> =B �INSTALL e �REPAIR " ° ' ' <br /> ' PROPOSED USE Q SFR �Q -COMM 0 OTHER <br /> TYPE OF CONSTRUCTION �Q BLOCK .Q FRAME Q STEEL Q: <br /> DESCRIPTION OF 1NORK �/�Z ��� <br /> �BUILDING SIZE'��—�..SQ FOOTAGE�„ .HEIGHT - 7. , <br /> QBUILDING $ ' .VALUATIOMOF TOTAL CONSTRUCTION <br /> LECTRICAL ; $ _ AMP SERVICE �(�J �PROGRESS ENERGY �Q W.R.E.C. <br /> . � � - <br /> QPLUMBIIVG $ � <br /> QMECHANICAL $, VALUATION OF_MECHANICALdNSTALLATION c <br /> . + J� - <br /> QGAS > Q ROOFING Q SPECIALTY Q OTHER -1 1�/� 1 I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> $IGNATURE REGISTERED Y/ N FEE CURRE� �Y/N <br /> Address ticense# � <br /> , <br /> ELECTRICI - COMPANY G� '` ` <br /> 'SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License#�� (6(J ��p G/ - <br /> P.LUMBER . . COMPANY - <br /> SIGNATURE ;REGISTERED, , Y/ N - FEE CURRE�<,. Y/N <br /> Address � ` , License# - <br /> MECHANICAL ' COMPANY - � <br /> SIGNATURE � - ` ' � x � REGISTERED •„Y/.N ^ ,_ FEE CURRE� Y/N , <br /> Address' , � '`;'. • � ` " License.#,� <br /> OTHER � � COMPANY - <br /> SIGNATURE • �- REGISTERED Y/ N . FEE CURRE� Y/N. <br /> Address - ,•,t�, � � �� - - ` �L'icen§e# � � <br /> RESIDENTIAL Attach(2)'Plot•Plans;(2);sets•,of Building;P..lans;(1):sef of Energy.Forms;R-O=VV=Permit for new construction, ' � <br /> ��Minimum ten,,(.1U),,working day,s=after.-.submittalydate:"Requirea.on§Ite,�Construotion Pians,Stormwater Plans w/Silt Fence(nstalled, <br /> 5anitary Facilities`&-,1 dumpster-SitealNork;Permit#or;subdiyisionsLlarg,e:�projects,. �' •- e _ <br /> _ COMMERCIAL Attach(3)complete.sets of Building�Plans plus.a Cife Safetji Page;°(1)§et of EnergyForms.R-O-W Permit for new consUuction. <br /> Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanftary Facilities&1 dumpster.Site Work Permit for all new,projects.�All commercial requlrements must meet compliance <br /> 51GN PERMIT Attach�(2)sets°ofEngineered,Rlans.l,"�"`: � : - _ - <br /> " ""'PROPERTY SURVEY required for�all NEW construction. _. . <br /> )irecttonsr � . � - <br /> Fill�out application completely. <br /> Owner 8 Contractor sign back of appl(catlon,notarized <br /> If over�2500,a Notice of Commencement is required. (AIC upgrades over a7500) <br /> '" Agent(for the con'fractor)'or-Power of Attomey(forthe owner)would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER'PERMIT'TING,_ ��_ (Front of.Application_Only). . � � <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on pu6lic roadways::needs ROW ' <br />