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' ' 813-780-0020 � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � ` Building Department <br /> Date Rece(ved � <br /> Phone ContactforPermitting Z- <br /> Owners Name ('Y �.{ ( Owner Phone Number <br /> Owner's Address J�� �Y��}-� Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �Q �uc tCQ,I WCXJ�r C�,� LOT# � <br /> SUBDIVISION PARCELID# I�-2�D�ZI� ��0� — ��� <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED e NSTALLSTRd REPAIR � SIGN Q Q DEMOLISH <br /> u <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CON5TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C�,\ � �O <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> Q�UILDING S r���(y cX'+ VALUATION OF TOTAL CONSTRUCTION <br /> G —1 <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � �,/,S� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION V � � /� <br /> � i������' <br /> QGAS � ROOFING Q SPECIALTY � OTHER �� ��' ( <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � / <br /> BUILDER �! �OMPANY� �� SC��.I�l� /N �C <br /> SIGNATURE <br /> Address � � �! •� •!,S `-t License# ���U�3`-Y <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> \ <br /> PLUMBER COMPANY ,' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> 51GNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address � " License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111111111111111111I11 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Pertni[for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fartns.R-O-W Permit far new conslruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrectlons:• <br /> Fill out application completely. <br /> Owner&Conhactor sign back of applicatlon,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(Tor the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (copy of coniract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PbUSurvey/Footage) <br /> Drivaways-Not over Counter if on public roadways..needs ROW <br />