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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> . ' Building Department - <br /> Date Rec�ived •Phone-Contact for Permittin - � �l 3 70�' —S��1'� Z <br /> Owrer's Name �D l� - /T Owner Phone Number <br /> Owner's Addre�s / � G�N 4 v�� u� Owner Phone Number � � <br /> Fee Simple Tltleholder.Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> � B INSTALL e REPAIR <br /> PROPOSED:USE ,,,- Q SFR Q COMM` Q OTHER <br /> TYPE OF CONSTRUCTION _ Q BLOCK a Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK c� � W (%� Y � <br /> � � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �� C�_ ob <br /> QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING $ ��`_�� <br /> � �[7 <br /> OMECHANICAL $ ' . VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q QTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER i /, COMPANY �S O /�LrG� C'v l� C . <br /> SIGNATURE �n� REGISTERED Y/ fV FEE CURREP Y N <br /> Addre�s Ltcense# <br /> ELECTRICIAN -, COMPAPIY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address . License# <br /> PLUMBER COMP.ANY <br /> SIGNATURE � rte��s7eRE� Y/ N FEE CURRE� Y/N <br /> Address License# <br /> AAECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Address License# <br /> OTHER COPdIPAWY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/fV. <br /> Address License# <br /> RESIDENTIAL Attach(2)RIoYPlans;(2)sets of:Building'Plans;(1)set of Energy�Fortns;R-O-W Permit for new construction, <br /> Minimum�ten(1.0)working;days after,subriiittal date. Requlred onsite,.Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles.&•.1.,dumpste,r,.Site Work�Rermit for subdivislonsAarge projects - � <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)wortcing days after submittal date: Required onsite,Construcdon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Santtary FaciliUes&1 dumpster.Site Work Permit for all new proJeot's..All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of'Erigineered.Plans. � ° <br /> "'"PROPERTY SURVEY required for.all NEW construction. <br /> Directlons: J ! � <br /> Ftll out applicadon completely. /' ; `�, } � ,� ; � <br /> Owner&Contractor sign back of applicatlon,:notarized � _...; ',1 r;�,-� _ . <br /> If over 52500,a Notice of Commencement is required:� (AIC upg'rades dver ST500) <br /> '• Agent(for ttie contractor)or Power of Attomey(fo�'ttie;owne�)'would`6e`som"eioneyvith notarized letter from owner authorizing same <br /> ,,;� ;t. <br /> DVER THE COUNTER PERMITTING.- (Front of Application;Only),�,.�� :�;',�� �; � <br /> Reroofs if shingles Sewers Service Upgrades.,A/C. ��-•:`;Fences(PIoUSurvejY/Footage) <br /> Driveways-Not over Counter if on public roadways:.needs ROW°"����"'°"`"'�",°.'"°°.--` <br />