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. � 813-780-0020 City of Zephyrhills Permit Application FaX$��-�so-oo2� <br /> Building Department <br /> _ ! r <br /> `f Date Received S�1' ��`y'S phone Contact far Pertnitting 3 � -- f t-�.� • <br /> Owner's Name �:�k' . /'. � Owner Phone Number J -��—"��3 <br /> Owner's Address �/`7��! '�j�i�G�, � r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# � <br /> SUBDIVISION PARCEL IDp <br /> (OBTAUlED FROM PROPERTY TAX NOTICEj <br /> WORK PROPOSED e NEW ContSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK C� lJ7 �I� S '��� ✓ T O N <br /> BUILDIN6 SIZE SQ FOOTAOE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. , <br /> QPLUMBING $ �����a <br /> �MECHANICAL $ ���6� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREN Y/N <br /> Address � License# <br /> . MECHANICAL COMPANY A�(..L�' �,v(L� <br /> SI6NATURE REGISTERED Y/ N EE CURREN Y/N <br /> Address � � JL License# Y�4�', �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREN Y/N <br /> Address License# <br /> 111111111111111111111111111111 � 111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sats 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,Construdion Pians,Stormwater Plans w!SfR Fence insTalled, <br /> Sanitary FaalRies&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stortnwater Plans w/Silt Fence insTalled, <br /> Sanitary Faalities&1 dumpster Site Work Pertnit for all new projects.All eommercial requirements must meet compliance <br /> � SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> • � • 1 • • 1 ii f f 1 f f { 1 � � � 1 � 1 1 � 1-f 1 • 1 ' 1 • <br /> Directions:• <br /> Fiil out application completely. <br /> Owner&Contrector sign back of applicadon,notarized <br /> If over 52600,a Notice of Commencement is required. (A/C upgrades over$7600) <br /> " i\qent(for tha contrador)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (copy of contrad require� <br /> Reroofs ff shingles Seu�.ers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubfic roadways..needs ROW <br />�_ <br />