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813-780-0020 City of Zephyrhills Permit Application Fax 813-78Q-0021 <br /> 8utlding Department <br /> x ' � <br /> Date Recetvad .phone Gontac#farPermittln <br /> Owner's fiEame Ck.r'�.? �..�� Owner Phans Number <br /> Ow ren 's Address 3� c�� (�,,� ` � �—'' Owner phone Number � � <br /> Fee Slmple Titleholder Name � � Owner Phone Number �� � <br />� <br />� Fee Simple Titleholder Address ` <br />� <br />� JOB ADDRE�SS � �l.Q��� '/Y�� LQT# �� l <br /> SUBDIVI510N �� � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPt3SEp NEw CQNSTR ADDlAIT [�� S1GN Q [� DEMOLtSH <br /> � e INSTALL � REPAIR <br /> P�20POSED;USE � SFR Q COMM � OTNEF2 <br /> TYPE OF GONSTRUCTION • Q BLOCK ' Q FRAME � STEEL Q <br /> DE3CRIP710N OF WORK� ��'Y l� �t�a �� ���'"�'n' � �D ��r <br /> BUILDING SIZE �� � SQ FQOTAGE� HEIGHT ��� <br /> 08UILDiNG � $ l�..p� Q'p� VAL.UATiQN�OF TOTAL CONSTRUCTION <br /> ��E.ECTRICAI $ _� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPWMBlNG �$S� ' �� � �/ <br /> L �,/� <br /> QMECHANlCAt. $ VAI.UATEON OF MECHANIGAI INSTA�tAT10N �� <br /> [�GAS Q RQOFIiVG Q SPEC1AlTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO <br /> BUIIDER � � CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �� � <br /> EI.ECTRICIAN CQMPANY <br /> SIGNATURE � REGISTERED Y/ N FEH CURRE� Y/N <br /> Address License# �- � <br /> PLUMBER � COMP.ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � ,� <br /> MECHANICAL Ct}MPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Addraas License# � � <br /> OtHER COMPANY <br /> SIGNATURE' REGISTERED Y/ N _ FEE CURRE� Y/N <br /> Address ' License# � � <br /> RESiDENT1AL Attach{2)Plat Plarts;.{2}sets of Building"Plans;{1)set oF Energy�Forms;R-t?-W Permit for aew canstruc#ion, <br /> Minimum.ten(10):working'days,after.submittal date. Required onsite,Constructlon Plans;Stonnwater Plans wL Silt Fence instailed, <br /> SaNtary Facil(ties.&-1 dumpster Site Work;Permit for subdivlslons/large-proJects � - - - <br /> COMMERCiAL Rttach(3)complete sets of Btiitdir9g f'lans plus a�lfe Safety Page;(1}set of Energy Fomts.R-O-W Pemtit for new construction. <br /> Minimum ten(10)working days'after submlttal date. Required onsite,ConsUvction Plens,Startnwater Plans w/Silt Fence instalied, <br /> Sanitary Facilitles&1 dumpster.Site Work Permtt for all new'proJects,All commerclal requlrements must meet compllance <br /> StGN PERIif11T Attach{2)sets af Engliteered P3ans.. � <br /> ""•PROPERTY SURVEY requlred for all NEW construction. . <br /> D#rectians: <br /> Fill out application completely. <br /> Owner�Contractor slgn back of applicarion,notarized <br /> If aver 52500,a Notice of Commencement is requtred. {AtC upgrades over$7800) <br /> " Agent(for the contractor)or Power of Attoriney(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER FERMITTiNG (Fron#of Appltcation Only} _ <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) <br /> Driveways-Ftat over Countar if an public roadways..needs RtJW . <br />