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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> . IDate Received <br /> Phone Contact for Permittin -- � <br /> � � � � J �G � "� o� " �� <br /> Owner s Idame � Owner Phone Idumber ( G ��� i <br /> Ovaner's Address l ��� O�nmer 6'hone fdumber `a7 ^ �� �� � .�, I <br /> I ��ee Sienple Titleholder fdame Owner Phone fdumber � 'Cd�L1(�'' � � <br /> Eee Simple Titleholder Address <br /> .d0�d1DDRESS ! � ��� � LOF# � <br /> I <br /> SUBDIbIS10M P�IRCEL ID# � `dv '�� '�c�v�0 "V��� �"�(� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> HHORK PROPOSED � NEW CONSTR(� ADD/ALT � SIGIV Q Q DEMOLISH <br /> INSTALL Q REPAIR <br /> PROPOSED U�E � SFR Q COMM � OTHER <br /> T1fPE OF COMSTE2UCTIOfd Q BLOCK � FRAME 0 STEEL � <br /> �ESCRIPTIOM OF lMORK �t�t I�i P� �j�SZ.A�� �`l1�S ��f6O �� <br /> 18UILDIfdG SIZE SQ FOOTAGE� HEIGliT <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTIOM�� � - <br /> 9 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/�j <br /> , � �� �► <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFIMG Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES fV0 <br /> IBUILDER Ck/U�n (�J�C/`---- , �COIlAPAidV <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/IV <br /> Address License# <br /> �L.EC'TRICIAfd COAAP�4MV <br /> SIGIdATURE REGISTERED Y/ M FEE CURRE� Y/N <br /> Address Llcense# <br /> PLUMiBER COIMP6►tdV <br /> SIGMATURE � � REGISTERED Y/ R� FEE CURRE� Y/N <br /> �4ddress License# <br /> RIiIECHANICAL COMPAidY <br /> SIGIdATURE REGISTERED Y I N FEE CURRE� Y/N <br /> . � <br /> Address ' License# <br /> O�HER COMPAMY i <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> dlddress License# � <br /> IZ�SIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities�1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> - -W Permit for new construction. <br /> COAAIIlIERCIAL Attach(3)complete sets of Build(ng Plans plus a Life Safety Page;(1)set of Energy Forms.R O <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciflties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> §IG(d PERMIT Attach(2)sets of Engineered Plans. <br /> °"°'PROPER?'Y SURVEY required for all NEW construction. <br /> Directions: � <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notariied" -- <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over�7300) <br /> "" Agent(for the contractor)or Power of Attomey.(forthe owner)would be someone with notarized letter from owner authorizing same <br /> OdER THE COUNTER PERMITTIMG (Front of Application,Only). �_ �•; <br /> Reroofs if shingles Sewers , -Service Upg�ades A/C, `Fences(Plot/Survey/Footage) _ . _ _ _ _;l_.- _, <br /> ,., : �:-.., „ . <br /> Driveways-Not over Counter if on public roadways..�rieeds ROW ` ' , - ,, , � ' <br /> , -. ._ _ _ - . ..... - � s .. , , <br /> ,,. _ .. <br />