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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Departrnent <br /> Date Recetved , ' ' ` ` � ' � � � - - �� � , � <br /> ; Phone-Contact for Permtttln • — <br /> -`.- � : , , _ . <br /> Owner's Name ��/I/G �!/�'S' Owner Phone Number..+, � <br /> ti , . . - <br /> Own r's Address. � 0�3� , ' j Owner Phone•Number � " <br /> Fee SI ple itleholder Name � Owner Phone Number <br /> Fee Simpl ,Tltlehold.�r Address <br /> --JOB ADDRESS � `'�' � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBT/i1NED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED °NEW CONSTR' ADD/ALT � SIGN� Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED.USE. SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � � '� �77 I �G- <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING '}� $ � ^���.--.--,. - � <br /> �� I VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE X � / 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 CURREA 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 CURRE� Y/N. <br /> Address - Ucense# <br /> RESIDENTIAL Attaoh(2)Pidt Plans;.(2)sets_of;Building Plans;(1)set of Energy�Fortns;R-O-W Permit far new construcGon, <br /> Minimum:ten;(•1.0)working days after._stibmittai date. Required onsite,ConsUuction Plans:Stormwater Pians w/Silt Fence installed, <br /> Sanitary FaciliUes,8�:l;dumpster_Site'Work=Pertnit for subdlVisions/Iarge proJects � <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Permit for all new.projebts.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engi,neered Blans.. , .� <br /> •"'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out applicaUon completely. <br /> Owner 8 Contractor sign back of applfcaUon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over b7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Piot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />