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813-780-U020 City of Zephyrhills Permit Applicatibn Fax 813-780-0021 k <br /> Building Department. v - ��� "",`. �. .�'�- _. ,v .. ; . <br /> '�.-._ - , ... �,�-,� . .. „.-..-.>-_ -_ i� • - ,._ } . <br /> ,. ,. . -- - '. i+,:` - '.__..,, ,. <br /> Date Received �<<+: . ,. . �"''? "�" - � , <br /> _ Phone Contact�for Permittin - ,?� — <br /> : - .. ;,- ��� ��,�� .,:,..,a..�.�.�.:.t.�.�..�. �� . ��• � � <br /> Owner's Name� �� _-°� - � •�9•�'/:�'_` � i %' '� Owner Phone Number <br /> Owner's Address ,� � T /'' Owner Phone Number - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/ LOT# r�� <br /> � <br /> SUBDIVISION �� U PARCEL ID# U y a � a l a D' . d 000 � <br /> I (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED wEW CONSTR ADD/ALT IQ SIGN Q Q DEMOLISH <br /> , e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM IQ OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DE3CRIPTION OF WORK // � Y�`�- �T /`� <br /> � <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ - <br /> MECHANICAL $. VALUATION OF MECHANICAL INSTALLATION <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY IQ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD'ZONE AREA QYES NO <br /> - --BUILDER - - -— - --- -------COWiI At�flf--— -- -- —--- - -- ---- --- - - -- - — <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP.AI�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address / License# <br /> MECHANICAL �� COMPAI�If � P� �� C_ <br /> SIGNATURE � O� REGISTERED Y N FEE CURRE� N <br /> Address � �✓ �� ��o� License# (, <br /> OTHER COMP IY <br /> SIGNATURE � ReGisTEREO Y/ N FEE CURRE� Y/N. <br /> Address I License# <br /> RESIDENTIAL 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 after_submithai date. Requlred onsite,Construction Plans;Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes.&1.dumpster Site�Work�Pertnit for subdiv�sions/large projects <br /> COMMERCIAL Attach(3)complete sefs of Builcling Plans plus a Ufe Safety�'age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster.Site Work Perm(t for all new projects.All commercial requlrements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Rlans.,, �: � <br /> "•'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fili out applicatlon completely. <br /> Owner 8 Contractor sign back of applicaUan,notarized <br /> If ovar 52500,a Notfce of Commencement is requlred. (AIC upgrades lover 5T500) <br /> " Agent(for the contrac4or)or Power of Attomey(for the owmer)would be someane with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Appllcation Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />