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` !.'��` ' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Builtling Departmenl <br /> Date Received g�3 Q 1 ^ p f1 <br /> � � � � � � � � Phone Contact for Pe'm'��ng � p O� ( V <br /> Owner's Name l.lC„t O�-�E.�1Qf` Owner Phone Numher ��3' d.—3p <br /> Owner's Address 3�0��� �AP� .LJ Y' Owner Phone Number <br /> Fee Simple Titleholder Name /�/ Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS a.I I �`1` �r LOT# I D <br /> SUBDIVISION � � PARCEL ID# (�' ���O"a•I � O ' O � O <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN � � 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 � ,3 S� ILL`i(,.DD <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ I Q� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE C RE� Y/N <br /> Address /� � I V License# CC, �3 <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/N <br /> Address <br /> 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 /> IIIIIIilllllllllllltlllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new cons[ruction, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Slortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permil for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)sel of Energy Forms.R-0-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 Facililies&1 dumpster.Site Work Permil for all new projecls.All commercial requiremen[s mus[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 o(application,notarized <br /> If over$2500,a Notice oi Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contrac[or)or Power of Atlorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI771NG (copy of contracl required) <br /> Reroofs it shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Coun[er it on public roadways..needs ROW <br />