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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � ` Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> 7--i—i-1—I�r — <br /> Owners Name a\C.� h `� c�, Owner Phone Number '�f��J� 7�2� 6 <br /> IOwner's Address 7 3� �' �, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �7 � � T• LOT# � <br /> SUBDIVISION PARCEL ID# I1 '�6'�� • �O�O • O • ��'7�aO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> 7YPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL � <br /> DESCRIP710NOFWORK Sev'V\Ce �/ �, <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> IBUILDING $ <br /> � VALUATION OF TOTAL CONSTRUCTION ( �d V <br /> t <br /> ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ � <br /> � <br /> �l �s � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> SIGNATUREN �`�,V"^'�--+ REOGI9TPERED Y/ N �e cuRRen ,Y/N^ <br /> Address Is 3 Z S License# 'e�� 0�3 S 3 <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/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllll <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 after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days�after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster.Sile Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construclion. <br /> Directions: <br />�, Fill out application completely <br /> Owner 8 Contraclor 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 Attomey(for the owner)would.be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contractrequired) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C � Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.:needs ROW � <br /> - � <br />