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� �� � <br /> . � " '! 813-780•0020 City of Zephyrhills Permit Application Fax-81&780-0021 <br /> iBuilding Department I <br /> iDate Recefved � ` phone Contact for Pertniriin – I <br /> i � Owners Name �� ' 1 Owner Phone Number ' O � I' <br /> i I Owner's Addreas � ���L Owner Phone Number <br /> � <br /> I Fee Simple TiUeholder Name Owner Phone Number � <br /> I <br /> Fee Simple Titleholder Address � <br /> I I JOBADDRESS Z � � LOT# � <br /> I SUBDIVISION PARCEL ID# " �S� " O I �Ow�� � �v v <br /> � ' (OBTAINED FROM PROPERTYTAIC NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADDIALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME • 0 STEEL Q � <br /> DESCRIPTION OF WORK L.IJ� ' � C� (�- �'F' ►�lL. � <br /> BUILDING SIZE � � SQ FOOTAGE 13��� HEIGHT � I' � <br /> BUILDING $ �' VALUATION OF TOTAL CONSTRUCTION �i/ � <br /> l7' .�• � <br /> QELECTRICAL $ ' �—/� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> V V . , <br /> � QPLUMBING $ , , � c / _ <br /> � '�r-'�'� ���•�, � <br />� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �D� <br />' QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> ,3 ,� , a!� � <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��%lV'""/� <br /> ✓ <br /> BUILDER COMPANY A � C�� �+�Y�- "� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address `'1 �133 �3.icense# <br /> / � �� <br /> ..L ELECTRI � '� COMPANY y � � � <br /> ��� SICaNAT E REGISTERED Y/ N �cuwtEn Y/N <br /> i <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N <br /> i <br /> Address License# • <br /> MECHANICAL COMPANY � <br /> SIGNATURE ' REGISTERED Y/ N FEE CURREI. Y/N , <br /> Address License# <br /> I <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N , <br /> i <br /> Address . License# � <br /> IIIIIIIIIIIIIIIIIIIIilllllllllltllllllllllllllllll.11lllllllllllllll ' <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for riew construction, , <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpstar;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Bulding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. ' <br /> Minimum ten(10)working deys eker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, � <br /> Sanitary Facilllies 81 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plens. , . <br /> ""PROPERTY SURVEY required for all NEW constructfon. <br /> DlrecUons: <br />' Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Nodce of Commencement Is requlred. (A/C upgrades over 57500) <br /> " Agent(fo�the cont`acto�)or Powac of Attorney(for the owner)would be someone with notarized larier from owner authorizing same <br />' OVER THE COUNTER PERMiTTING (wpybf contract required) _ . - -- _ � <br /> Reroofs if shingles Sewers '' Service Upgrades A/C Fences(PIot/SurveylFootage)�l � <br /> Driveways-Not over Counter if on public roadways.:needs ROW � , ' <br />