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813-780-0020 City of Zephyrhills Permit Application Fax-81&780-0021 ��, /// ! <br /> Building Department s�"��/—� <br /> �L¢ a�/ <br /> Date Received � � _ !`v <br /> � Phone ContactforPermitting <br /> 1 <br /> Owner's Name Q��i�� Owner Phone Number I� <br /> Owner's Address 0 �� Owner Phone Number <br /> Fee Simple T(tleholder Name • , Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /►� � 'L( �1.• � I L LOT# � <br /> SUBDIVISION PARCEL ID# 0 <br /> (OBTPJNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br />� TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK UT ^I�� �L 7 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � � �►�'VI � �� <br /> �BUILDING $ 1 t VALUATIONOFTO'fALCONSTRUCTION �� <br /> /'� { .� <br /> i <br /> OELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ � � <br /> / ' O� G� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� � <br /> �j / �/(/�'_�""' <br /> QGAS Q ROOFING Q SPECIALN � OTHER /� � }— <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO ���G� <br /> .\..� . �'f t�v� <br /> . . . . . . . . . ��_��j�� <br /> BUILDER COMPANY "\/i'�'� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �'j v� <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER �� �, •^ COMPANY N'�I ��Z ���`I� jI�') <br /> SIGNATURE � r � REGISTERED / N FEE CURRE� <br /> Address � � �'K �L 7� License � I. <br /> 1111111111111111111111111111111111111111111111111 IIIIIIIItllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for w construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,St rmwater Plans w/Silt Fence installe <br /> Sanitary Facilities&1 dumpster;Site Work Permit for suhdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R- W Pertnit for new co tion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormw ence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ' <br /> ""PROPERTY SURVEY required for all NEW construction. ' <br /> Directions:• <br /> FiII out application completely. <br /> Owner 8 Contractor sign back of application,notarized i <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> •' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />