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813-780-0020 I Fax-813-780-0021 <br /> � City of Zephyrhills Permit Application <br /> . � Building DepaAment <br /> I <br /> � '+ � DateReceived i � _��� ��� <br /> Phone Contact for Permitting <br /> r� /���. I�, �,, t� <br /> Owners Name �/ '�-{ �"�"" Owner Phone Number �/ <br /> 2 � l, <br /> Owner's Address 79 I � �(, Owner Phone Number � �Z 'f <br /> Fee Slmpla Tltleholder Name Owner Phone Number <br /> I � <br /> Fea Slmple Tltleholder Address <br /> JOBADDRESS C� � (, I LOT# � <br /> SUBDIVISION � PARCELIDk !�, OC�} <br /> j (OBTAINED FROM PROPERTY TAX NOTIGE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT i�� ,SI@N Q Q DEMOLISH <br /> INSTALL REPAIR I � <br /> PROPOSED USE Q SFR Q COMM i� OTH\ <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME ,Q STEEL Q <br /> DESCRIPTION OF WORK lri � ��S �� � L� <br /> BUILDING SIZE SQ FOOTAGE 4.—U!�—�—� HEIGHT � <br /> QBUILDING $ VALUATION OF IOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE ! Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � ,, <br /> I <br /> �MECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> QGAS Q ROOFING Q SPECIALTYI� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> .I. • <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 COMP I Y � <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/N <br /> i <br /> Address � License# <br /> MECHANICAL f � � COMP� � (J (��� <br /> SIGNATURE � / _ REGISTERED / N FEECURRE� Y N <br /> Address License# <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. ' <br /> , Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instatled, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance <br /> SIGN PERMff Altach(2)sets of Engineered Plans. <br /> "•'PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � <br /> Directlons: <br /> Flll out application completely. <br /> Owner&Contractor sign back of applicalion,notarized , <br /> If over E2500,a Notice of Commencement Is requlred. (AIC upgrades�over$7500) <br /> " Agent(for the contractar)or Pawer of Attomey(for the owner)would be someone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs If shingles Sewers Service Upgrades AIC ° Fences(PIoVSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br /> � <br /> � <br />