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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department . <br /> 4 � <br /> Date Received � l 2 Phone•Contact for Permittin — � <br /> Owner's Name �1`V 1� ��l7 �(')►r Owner Phone Number <br /> � <br /> Owner's Address �" ��' � � Owner Phone Number <br /> Fee Simple Titleholder Name �/ l � � �i V"'' ` Owner Phone Number <br /> Fee Simple Tftleholder Address <br /> JOB ADDRESS 2 �C?.�� G��,� LOT# � <br /> SUBDIVISION � �\L,. OO�(, PARCEL ID# <br /> , (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , � NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED:USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK " � FRAME Q STEEL Q <br /> DE3CRIPTION OF WORK �u�� C]� ��� <br /> BUILDING SIZE ��� �3 _SQ FOOTAGE�, HEIGHT <br /> QBUILDING $ / Q �1� VALUATION�OF'TOTALCONSTRIJCTION <br /> �p 1 ot� <br /> QELECTRICAL $ � AMP SERVICE Q P OGRESS ENERGY Q W.R.E.C. <br /> PLUMBING - l�� � � <br /> o $ . C�� <br /> � ��J��✓ � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ! <br /> OGAS Q ROOFING Q SPECIALTY OTHER �� <br /> � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � ��V <br /> BUILDER � C�Mp� !�� ���, rpL�,�..., <br /> SIGNATU REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � 5 � �. Ltcense# ' <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> PLUMBER COAAPAPIY <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 /> Addres$ License# <br /> RESIDENTIAL Attach(2)PIoE Plans;..(2)sets of Building'Plans;(1)set of Energy�Forms;R-0-W Permit for new construction, <br /> Minimum.ten(1.0):working days after_submittal date. Required onsite,Constructlon Plans;Stormwater Plans w/Silt Fence instailed, <br /> Sanitary FaciliUes;&1,.dumpster,,Site WortcFRertnit.for subdiVisionsAarge projects <br /> -- COMMERCIAL Attach(3)complete'sefs of Buildin'g'Plans plus a Life Sefety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construcUon. <br /> Minimum ten•(10)working days'after submittal date. Required onsite,ConsUucdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities-&1 dumpster.Site Work Permit for all new,projects.All commercial requlrements must meet compllance <br /> SIGN PERMIT Attach�(2)sets of Engineer.ed P.lans.._- � .,i <br /> ""PROPERTY SURVEY required for all NEW constructlon. _ <br /> Directlons: <br /> Fill out applicadon completely. <br /> Owner&Contractor sign back of appl(caUon,notarized <br /> If ovar 52500,a Notice of Commsncement Is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractor)ot Power.of i4ttomey.(fo�,tFae owner)would_be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMIT�lMG. ,,' (Front ofApplication.Only)'.: ;` <br /> Reroofs If shingles Sewers�' ;'Service Upgrades A/C-• Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if-on-public coadway§.Peeds ROW�° '�, <br />