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" <br /> i 813-780-0020 � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received <br /> Phone Contact for Permittin — <br /> 9 <br /> ` g� 3 � �� Z - 13oo <br /> Owner's Name �oh� �Q�(� Owner Phone Number <br /> Owner's Address ��y�—Z- l.�rn �al 1 � r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� -1 ZZ CO�'n UL�CLI� � Y LOT# � <br /> SUBDIVISION ��C�' e- �.X�C�C..�' . PARCEL ID# <br />, (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK oL CR� I � r PQ Q.` �1 J C� <br /> I BUILDING SIZE SQ FOOTAGE C] HEIGHT � \�i � <br /> OBUILDING $� C"�' VALUATION OF TOTAL CONSTRUCTION <br /> LJ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE 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 CURRE� Y/N <br /> Address License# i <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ <br /> Address �� License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-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 Facilities&1 dumpster;Site Work Fermit for subdivisions/large projects <br /> COiVIMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all:new projects.All�commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""*PROPERTY SURVEY required for all NEW constn�ction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> "* Agent(for the contractor)or Power:of„P+ttomey.(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING • .(Eront-of Application Only) <br /> Reroofs if shingles Sewers SerGice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter-if on public,-Yoadways..needs ROW <br /> ;, <br />