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� � 1. 1 <br /> , � - � - ` <br /> : 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ' <br /> Building Department � <br /> Date Received <br /> Phone Contact for Permitting -- <br /> � 1 a <br /> Owner's Name � � Owner Phone Number �1� ' 3� 7 J <br /> c <br /> Owner's Address e� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br />, Fee Simple Titleholder Address - <br /> JOB ADDRESS � �� G.� \1 � 335 LOT# � <br /> SUBDIVISION PARCEL ID# <br />� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK CtC'r �� (G�C Lbt lµ1� O r �CX�t T f7'/L C r�.Gc✓��N LP���• <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> '�-' ' ' '�' ' ' �7--G-�I-��' �F � <br /> BUILDER- -- _ - = COMPANY- -- - ----- -�— -- -- _ _ .. __ _ <br /> SIGNATURE - REGISTERED Y/ N FEE CURRE� � Y/N <br /> Address License# <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 License# <br /> MECHANICAL COMPANY C����(C I�lt�q��Ck� ��v�Gr� ��it,�' <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Address �� VU4J l�` �l1�P, U�dg Gf 4 �icense# �:�►1�1a b$'7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIItllllltlllllllllllllllllllllllllllllllllllllltllllllllltllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildir�g Plans;(1)set of Energy Forms;R-O-W Permitfor new construction, <br /> Minimum ten(10)working days after 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 Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit 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 construction. <br /> ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ �5�� '�i C.� ■ ■ y ' ■ ■ � ■ � �J S • � Z ■ ■ ■ ■ � � L � ■ s ■ ■ <br /> Directions: <br /> Fill out application completely <br /> Owner 8�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />