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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received 3`/ Phone ContactforPermitting —� � <br /> Owner's Name Q 1 � e l en Owner Phone Number ��� b J�Q�0 0 <br /> Owner's Address �1L��S � lJ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Numher <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �S[ � J 1 � LOT# � <br /> SUBDIVISION 1 11� (fCIGI l PARCELIDlk O � I � i5v - 000-au�v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R n ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL �� REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Q� V I 1 1L S <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> � ��`� — <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I XIPLUMBING $ <br /> ��,` `� l�3 s'� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION G <br /> n�1`��� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER ��/W /7� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO !/ <br /> BUILDER �� � COMPANY ��Gf, f� bl�,r -C erg <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��U �r ��d I��J'� License# � �s(9b[� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11t1I11i11t111111II11111t111i1111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br />, Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of apptication,notarized <br /> IIf over 52500,a Notice of Commencement is requlred. (AlC upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />