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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ` � ; . Building Department <br /> Date Recelved r � 3 �7 __ �� <br /> Phone Contact for Permitting <br /> 1 � 1 1 1 1 1 1 1 1 1 1 � <br /> Owner's Name // (� / Owner Phone Number <br /> Owners Address /(/ / /• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �� <br /> JOBADDRESS O `� � LOT# � <br /> SUBDIVISION �/T V(/�ll� PARCELID# ���(�OCJ ���%���v�� • V�Z� <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW coNSTR e ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � TH <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK ' (/ ��•GL/! !'!'L— �, <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � I <br /> �BUILDING $ //J�� VALUATIONOFTOTALCONSTRUCTION <br /> V�/ <br /> I QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. I <br /> �PLUMBWG $ O�� � I <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `% � ��`� " I <br /> O Jy�� � <br /> v <br /> �GAS 0 ROOFING Q SPECIALTY � OTHER <br /> IFINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO '� ` � �� , <br /> I /��j <br /> BUILDER �-COM�ANY S <br />� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address • �� �7 J 7/ 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 I 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111 <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 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 aker submiltal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br />� Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> II .+ If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent(for the wntractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> i <br /> OVER THE COUNTER PERMITTING (capy of contrect 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 />