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f � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received �ga � <br /> Phone Contact for Permitting <br /> Owner's Name r � � Owner Phone Number ��V �✓��" !V/c(7� <br /> � I ' 1 <br /> Owner's Add ess 3 ��J D F�'0 H(�J Owner Phone Number <br /> Fee Simple Ti ehoider Name � � Owner Phone Number <br /> Fee Simple Itleholder Address <br /> JOB RESS �0��7 �p 1^O D h 33 LOT# �S <br /> SUBDIVISION , � PARCEL ID# a ' (-��/�3D � S <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPO5ED e NEW CON57R� ADD/ALT � SIGN Q Q DEMOLISH <br /> ,,,yyy}��� INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �Q V }—� (/\ ���•� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � �V i V <br /> �BUILDING $ �y a �O VALUATIONOFTOTALCONSTRUCTION <br /> .� <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��^ O <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � '� <br /> � �( �� ��� <br /> OGAS � ROOFING Q SPECIALTY � OTHER � V G4 <br /> ( �V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO _y� �Q� <br /> n <br /> � <br /> U <br /> BUILDER �� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURf n Y/N <br /> Address � ( ��J�{ Z � �/ License# S � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> r, <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 Cl1RRE� Y/N <br /> Address License# <br /> Illltlllllllllllllllllllllllllllllllllllllllllllllllllltlllllllllll <br /> RESIDENTIAL Attach(2)Plot Plens;(2)sets of Building Plans;(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,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence ins[alled, <br /> Sanitary Facilities�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••`•PROPERTY SURVEY required for all NEW construction. <br /> Dvectlons:• <br /> Fill out appiication completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$7500) <br /> `• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized lerier from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />