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813-780-�20 City of Zephyrhills Permit Application F���a-�eaooz� <br /> Building Department <br /> ' Date Received .�C � phone Contact for Permilting � U Q <br /> Owners Name Owner Phone Number - <br /> • ' <br /> Owners Address I Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS LOT# [yLLL-� <br /> SUBDIVISION � � PARCEL IQq ' 'W I�' <br /> � � (OB7AINED FR�OM PROPERN T�ncE1 DEMOLISH <br /> WORK PROPOSED �NEW CONSTR e ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE � [� SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL �� <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE 2� SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONS7RUCTION ���bb�^ <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ��CUMBING $ , � <br /> �N1€CHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I�'" " <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> __ BUILDER I �y'�`'�l.�- COMPANY S IC�P � � <br /> � SIGNATURE � REGISTERED Y N FEECURRQ. Y N <br /> A'ddress �.. License# � Z� <br /> ELECTRICIAN COMPANY (Jl_SL.� <br /> SIGNATURE REGI5TEf2ED Y N FEECURRE� /N <br /> Address r License# �� Z Q <br /> PLUMBER COMPANY S �Y 1`\ Svt� <br /> SIGNATURE REGISTEf2ED Y N FEECURRE� /N <br /> Address S �_ License# Y�1��S C��� <br /> MECHANICAL l,� C/� _`-� COMPANY _ ' s � � <br /> SIGNATURE / / �� REGISTERED Y N FEECURREA /N <br /> Address , License# �`-C g <br /> OTHER . COMPANY <br /> SIGNq7URE REGISTFRED Y/ N FEE CURREA Y/N <br /> Address License# <br /> - 1111111111111111.111111111111111111111111111.111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnd for new construction, <br /> Minimum ten(10)working days after submirial date. Required onsite;Construc6on Plans,Stormwater Plans w/Siit Ferroe installed, <br /> Sanitary Faciidies&1 dumpster,Sde Work Permd for subdivisions/large projects <br /> COMMERGAL Attach(3)canplete sets of Building Ptans pius a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsde,Construction Plans,Stortnwater Plans w/SiR Fence installed, <br /> Sanitary Facilities 8 1 dumpste�.Site Work PermR for all new piojects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans: <br /> ""PROPER7Y SURVEY required for ail NEW construction. <br /> Directions:• <br /> Fill out application compietety. <br /> Owner 8 Contrador sign badc of application,notarrzed <br /> If over E2500,a NoUce of Commencement Is requfred. (A!C upgrades over E7500) <br /> " Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authwizing same <br /> OVER THE COUNTER PERMITf1NG (Front of Appli�ion Only) <br /> • Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) � <br /> Driveways-Not over Counter if on public roadways..rreeds ROW <br />