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s�a-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �' Building Department <br /> Date Receiv�ad � �p� _ s0�� <br /> I Phone Contact for Permitting � 6 <br /> "Owner's Na e ��}e� � /� Owner Phone Number ��� /� ls� <br /> Owner's Add�'ess ���SD �TG�PjepQ/Q � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Ti leholder Address <br /> JOB ADDRES ��S� ��T��,�3 Pi2r�� �K� LOT# � <br /> SUBDIVISION �Lf'OZ� PARCEL ID# >� � al �/�U 6��a (/(r� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP �SED , NEW CONSTR ADD/AlT 0 SIGN Q Q DEMOLISH <br /> B INSTALL � REPAIR <br /> PROPOSED UI E Q SFR Q COMM 0 OTHER <br /> TYPE`OF CONSTRUCTION Q, BLOCK - Q FRAME � STEEL Q <br />' DESCRIPTION OF WORK �eSi �� c hraN e��� C �N S � �dN <br /> BUIL"DING aIZE SQ FOOTAGE� HEIGHT <br />' �BUIL ING $ VALUATION�OF TOTAL CONSTRUCTION <br /> QECE TRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> I <br /> QPLU BING $ <br /> QMECHANICAL $ ��bQ' � VALUATION OF M�CHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLO �R ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COM PANY <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# <br /> � /�H�'/f/2�5 /' <br /> MECHANICAL �n,� - �� COMPAMY Opf3�'L"�'j7"�� _�NC� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Addre"ss 7 y'7 ��(f —/f//�$ License# /7�T3�� <br /> OTHER, ' COMPANY <br /> SIGNAT.URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address•- _ � License# <br /> RESIDENTIAL ; i4ttach(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§ubmittal iiate. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary.,FaciliGes 8:1 dumpster;Sife:Work Permit for subdivisions/large projects � <br /> COMMERCIAL Attach(2j 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,Construction Plans,Stormwater Plahs w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�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 /> Directions: • <br /> Fill out applic�tion completely. <br /> Owner&Con�ctor sign back of application,notarized <br /> If over$2500Ia Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(forth'e�cOnVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER TME COUN ER 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 /> � -- - <br />