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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> , Date Received Phone Contact for Permlttin .� � — ���� <br /> Owner's Name �7 !� � r/ Owner Phone Number f�r� �JcJ�' <br /> Owner's Address ��rTJ I 1�C.� (— � Owner Phone Number <br /> Fea Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS G� � LOT# � <br /> SUBDIVISION PARCEL ID# ��'��•Z�'b� '��dn�'(���d <br /> (OBTAINED FROM PROPERTY TA7(NOTIC� <br />� WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH � <br />� e INSTALL 8 REPAIR I <br /> PROPOSED USE � SFR Q COMM Q OTHER I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK '�VTr� �U� I C� QO�' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING 3 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ '� <br /> ` „ ��� � <br /> : MECHANICAL VALUATION OF MECHANICAL INSTALLATION � � I <br /> i � $ �?�U188 <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ' BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ReGISTe�o Y/ N FeE cUwxEn Y/N ' <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE RE TERED Y/ N FEE CUru�n Y/N <br /> Address .,� License# <br /> i• yy�,��,,.� <br />' MECHANICAL � COMP� �•U-^� ' �� ���`r� ,L2 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Atldress ��{$Q'j (�1 � S{- .�L � License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> Illllllllllllllllllltllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plens;(1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&'I dumpster,Site Wark Permit for subdivisionsllarge proJects <br /> COMMERCIAL Attech(2)complete 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 deys aRer 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 Pians. <br /> ""PROPERTY SURVEY required for all NEW constructfon. <br />' Directloos:• <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If.over$2500,a NoUce of Commencement Is requlred. (A/C upgredes over b7500) <br /> " Agent(for the conVactor)ar Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> I OVERiTHE COUNTER PERMITfING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A!C Fences(PlotlSurvey/Footage) <br /> Drlveways-Not over Counter if on pu6lic roadways..needs ROW <br />