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e <br /> : <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received r Z v l phone Contact for Pertnitting �� b � li <br /> 1 1�1 1 1 I 1 1 1 1 1 1 1 , <br /> Owners Name N Owner Phone Number <br /> � L /� <br /> Owners Address l r�' �� �-'�T Y Owner Phone Number <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� LOT# � <br /> SUBDIVISION v• PARCEL ID# <br /> (OBT/UNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R e ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �• N • �� S�L�J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ ALUATION OF TOTAL CONSTRUCTION <br /> J <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � I /�/y � <br /> � ( � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ~ <br /> � (� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER j1 �� <br /> 11 1 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO V <br /> BUILDER �cOMD�Y `5 liW"O <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � ,K License# L% v J I��L' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br />, 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111 <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 Pertnit for new construcGon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facili[ies&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW construction. <br />, Dlrectlons: <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contrector)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(PlotlSurvey/Footage) <br />�, Driveways-Not over Counter if on public roadways..needs ROW <br />