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� - 813-780-0020 City of Zephyrhills Permit Application Fax-81&780-0021 <br /> � * Building Department <br /> Date Received phone Contact for Permitting - 4�v� <br /> 7-�-1-rIT �.� F � +] ✓ '�(� <br /> Owners Name �.+ (J«� Owner Phone Number Yc� O'/ � � <br /> Owners Address � �v L Owner Phone Num6er <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br />, JOB ADDRESS D S /7�� "L /�JII �S`/� LOT# �� <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED � NEW coNsiR B ADD/ALT 0 SIGN � 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br />` TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK _ i.(� S J i u T �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � � /� �j 1 <br /> � �/ <br /> HANICAL $ /� � VALUATION OF MECHANICAL INSTALLATION �� <br /> J � � <br /> GAS Q ROOFING Q SPECIALTY 0 OTHER ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �Fi�.-.-.-..-.-.-r.�-.�.�4-F�7-i-:-.� i i 3 7 7 ..�.�.-.� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Address License# <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 CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt11i1 <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 8 1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> .__.__�_ <br /> Directions:• <br /> Fill out application completely <br /> Owner 8 ContracSor sign back of application,nolarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agenl(for the contractor)or Power of Atlorney(for the owner)would be someone wilh notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />