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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Bullding Department . <br /> � ' • •- <br /> Date Received . Plione-Contact'forPermittln <br /> � _ <br /> �-Owner'a�Name; t (1�.0� Owp et Phone Number � /lAU �� <br /> �'Owne�'s Addras's' � � �� .�7 • Ow�ne�Phone Number = <br /> Fee Simple TItleFiolder.Name ' Owner Phone Number <br /> Fee Simple Tltleholder Addresa - <br /> �-JOB ADDRESS � �I ' LOT# � <br /> SUBDIVISION PARCEL ID# <br /> - - , - (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED •_NEW CONSTR ADD/ALT Q SIGN [� Q DEMOLISH <br /> INSTALL e- REPAIR <br /> PROPOSED�USE :Q. SFR Q COMM Q -OTHER <br /> TYPE OF CONSTRUCTION � Q� � 'BLOCK ` `Q � FRAME �` STEEL Q � <br /> ��=DESCRIPTION OF WORK' � � ��� � __ <br /> BUILDING�SIZE SQ FOOTAGE HEIGHT� •- <br /> C QBUILDING' $ VALUATION:OF�TOTAL�CONSTRUCTION <br /> ? 2• i <br /> QELECTRICAL $ " AMP SERVICE �'Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ - - r/��� ��0� <br /> r � I (�� 1f' <br /> ,. • /� ��.i <br /> OMECHANICAL $ VALOATION OF,MECHANICAL INSTALLATION. U <br /> QGAS Q ROOFING ,.Q SFECIALTY Q.�, OTHER , <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER-; G� COMPI4NY '�/����— <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y•/N-� <br /> Address , - � L'icense�# � <br /> ELECTRICIAN; � ;.'COMPANY� � - ' - <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREM` '=Y/N <br /> ?, , <br /> Address � < < . License�#:� <br /> PLUMBER COMPANY � • - - <br /> SIGNATURE' REGI3TERED Y:/._N '-:FEE CURRE�- ,� Y.J N," - <br /> Address - _ � . ..License.#: , . . . <br /> MECHANICAL' - ' � - _ .. COMPANY <br /> SIGNATURE ' ' � REGISTERED , „Y.,/ N , - FEE CURRE� Y/-N <br /> Address r - �� � � ' � � �� � License# <br /> OTHER `• ��> � ' ' � `;COMPMIY <br /> SIGNATURE '_ • ' ' "' � ' � ' � � �REGISTERED Y/ N.� � FEE CURRE� Y/N <br /> Address - � • - " Llcense#' ' � <br /> � ��' ' ' ' �Y.� �/� '.: .. .. , ... . �, . , � <br /> RESIDENTIAI:;;�.- :AttacFi`'(2)�Plot�P.lans;.(2)sets:of�Buflding'Plans;(1)sef of-Energy:Fonns;'R-0=1N Permit for new constructlon, <br /> � � :Minimumgten(�1,0);uyorktng;days;.after,:submlNal'date.�.Requl�ed onsite,,.C'onstiucBon Flans,�Stortnwa4er Plans w/Sht Fence installed, <br /> � '���'Sanitary Faciltdes;&1j,dumpster�Site•Work:P<ertnit for su6dfvislons/large pr�cjecfs � ' , <br /> COMMERCIAL Attach(3)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. Requlred onsite,ConsUucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlitles&1 dumpster.Stte Work Permit for all new.proJects.:All commercial requlrements_must meet compilance <br /> SIGN PERMIT AttacFi'(2)"'sets'�of Engineer,ed�,Plans.,; ��^�'- � • - � ' _ <br /> ""PROPERTY SURVEY reyuired for.all NEW constructlon. , � <br /> Directions: - � . ' <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of appltcatlon,notarized <br /> If over 52500,a Nottce of Commencement ts requlred. (AIC upgrades over 57500) - <br /> M "s�4.,� <br /> Agent(for the contraotor)`or Power of Attomey(fo�the�owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING-• ,-{Front-of AppllcaUon�Only)- ' � <br /> Reroofs if shingles Sewrers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW' � - v <br />