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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bu(Iding Department <br /> Dat�ecelved Phone Contact for Permittin — <br /> Owner's Plame -�// Q Owner Phone Number /� � � <br /> Owner's Address ,S� i /r/ �/: Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> � �JOB ADDRESS LOT# <br /> SUBDIVISION i�!d � PARCEL ID# Q � ��O Q v0 Q d�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED.USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK " Q FRAME � STEEL Q , <br /> DESCRIPTION OF WORK (/ �',{�/ � �%� � � �� G� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ G VALUATION OF MECHANICAL INSTALLATION <br /> )�0 • � <br /> QGAS Q ROOFING Q SPECIALTY_� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER - - COMPAPfY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address L'icense# <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 Llcense# <br /> MECHANICAL /� COMPANY �r�,�' /�� Q,� <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Address ia a 3 �G� � � � •� �- License# C,/"!'C`� S S <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Flot Plans;(2)sets of Building'Plans;(1)set of EnergyFortns;R-O-W Pertnit for new construction, <br /> Minimum.ten(10)working days aiter submittal date. Requtred onsite,ConstrucUon Plans;Stormwater Plans w/Slit Fence installed, <br /> - _ Sanitary FaciliUes&1 dumpster,Site Work Permit for subdivisionsAarge 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 constructlon. <br /> Minimum ten(10)workfng days after submittal date. Required onsite,ConstrucUon Plans,Stormwater'Plans w/Silt Fence installed, <br /> Sanitary Facilitles&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 construcGon. <br /> Dlrections: <br /> Fill out applicadon completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over�2500,a Plotice of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of"Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVERTHECOUNTER.PERMITTING ; (FrontofApplication;Only)� ?� , ' „ _. ,,`,',�, <br /> Reroofs if shingles Sewers Service Upgrades;ALC � ,-,Fences(PIoUSurvey/Footage) � � � . - ,, , '� • <br /> , , . _ . _ � , , ,_, , �",, <br /> Drlveways-Not over Counter if on public roadways..needs,ROW ., ' , � � . <br />