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� I <br /> • 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , , . Building Department <br /> I <br /> Date Received � 'al I C�ty �2 —!��� <br /> Phone ContactforRermitting �.r� <br /> � 4� I <br /> Owner's Name x Owner Phone Number <br /> i i <br /> �2 Z �DKSVIII�FI 10 � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address � <br /> i <br /> i <br /> , JOB ADDRESS � • � �'I�i LOT# i <br /> SUBDIVISION PARCEL ID# I I Z�—Z�� — I <br /> I ,�,/ (OBTAINED FROM PROPERTY TAX NOTICE) I <br /> I WORK PROPOSED � NEW CONSTR B 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 � STEEL Q <br /> DESCRIPTION OF WORK �1 11 �G r� (�J i <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S C� pV VALUATION OF TOTAL CONSTRUCTION , <br /> J <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. , <br /> �PLUMBING $ ,� !�� <br /> / �/ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER (n� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO VG ��� <br /> BUILDER � COMPANY U� J�. ( <br /> SIGNATURE REGISTERED N FEECURRE� N <br /> Address �Q � ��. License# a� <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# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111111 <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 Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsi[e,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> "••PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons:• � <br /> Fill out application completely ' <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement Is requlred. (AIC upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ; <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br /> I <br /> i I <br />