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1 <br /> � 813-780-0020 City of Zephyrhills Permit Application Fax•813-780-0021 I <br /> v Building Department <br /> Date Received �. $ • C �p phone Contact for Permittin �� •�7 ` - 0��� <br /> Owner's Name • � <br /> � Owner Phone Number <br /> Owner's Address Q �'"( � Owner Phone Number � � �' 3� � 5 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiBeholder Address <br /> JOBADDRESS �O ��rL • LOT# � <br /> SUBDIVISION G.yyOO PARCEL ID# I-f' ���'��y�O�v OO v� O� O <br /> (OBTAINEO FpOM PHOPEqTYTAX NOTIC� <br /> WORK PROPOSED e NSTALL�R B qEp u SIGN Q Q DEMOLISH <br />, PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � I �� �G V'L,J�.r -J � IO�� f�!,�,�f <br /> BUILDING SIZE � r S�FOOTAGE HEIGHT � �.�-l��l/ <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION � <br /> �ECTRICAL $ AMP SERVICE PR6GRE°�',3�lSEREFGY Q W.R.E.C. <br /> 'o�}71C� <br /> �PLUMBING $ � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I'� � <br /> l ' l <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO ��� <br /> ' i 1 7 • • i i-i 6 ' 7 i ' ' i 1 1 t 1 i Fi ' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License H <br /> ELECTRICIAN COMPANY T G <br /> SIGNATURE REGISTERED Y N FEECURRE� Y <br /> Address � l 0 License H �� 0� _ <br /> PLUMBER COMPANY - � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ` . . <br /> Address License H <br />' MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CUFRE� Y(N <br /> Address License N <br />' OTHER COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Atlach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)comptete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 /> . . a � � 1-4�p-rr.���u_u .�.�� <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br />� If over$2500,a Notice of Commencement is required. (A/C upgrades 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'rf shingles Sewers Senrice Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br /> L <br />