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813-790-0020 G�g �.�- q C� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> .�=:. . <br /> � Building Department _ <br /> : : • <br /> Date Received • ` Phone Contact for Permitting �- — <br /> Owner's tdame C�C. � �w �1 J Owner Phone tdumber .�� "���"��VS� <br /> Owner's.Address � �, s Owner Phone Number �r� �J✓ <br /> Fee Simple Titleholder Name �� V� Owrner Phone Plumber <br /> Fee Simple TiCleholder Address `����� � . <br /> JOB ADDRESS � O C� �`` � LOT# �O `� <br /> SUBDIVISION 1,.� . PARCEL ID# �� � liI � -- �WLJ`— `�� <br /> , (OBTAINED FROM PROPERTYTAXNOTICE) <br /> WORK PROPOSED B _ NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> ' INSTALL REPAIR — <br /> PROP.OSED USE .. Q SFR Q COMM (� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK - Q FRAME Q STEEL Q � <br /> DESCRIPTIOFI OF WORK i ��� Q � C.Si ' <br /> � ' <br /> BUILDING'SIZE SQ FOOTAGE� HEIGHT <br /> � QBUILDING $ VALUATION=OF"TOTAL CONSTRUCTION <br /> f � <br /> i QELECTRICAL .$ AMP SERVICE f0 PROGRESS ENERGY Q W.R.E.C. - <br /> OPL�MBING $ <br /> � �� 1 <br />' OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I� <br /> ,. � <br /> L <br /> QGA� Q ROOFING Q SPECIALTY 0 OTHER <br />', FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � E <br /> BUILDER � CONiPANY <br /> SIGIdATURE REGISTERED Y/`N FEE CURRE� Y/N <br /> Address License# <br /> . , � <br /> ELECTRiC.IAN COMPANY � <br /> SIGfdATURE� � REGISTERED Y/ N FEE CURRE� Y/N <br /> r <br /> aaa�es� � Cicense# <br /> PCIJNVBER;. j COMPANY- " <br />� SIGNATURE REGISTERED- Y/�N . FEE GURRE� Y/N <br /> Address � License�# <br /> MECHANICAL COMPANY <br /> �IGNATURE'9 � ' REGISTERED Y/ N F.EE CURRE� Y/N <br /> Add�ess�� � � ' License# <br /> , ;i�.; � . . <br /> OTHER;� �-���� � " COIIflPANY <br /> SIGNATURE_�i; � ` REGISTERED Y/.N FEE CURRE� Y/N <br /> . ) . . . <br /> Address�•.. " � " " License# <br /> .-.RESIDENI'174�.',. Attacti;(2)',Plot Plans;:(2):sets-of'Building'Plans;�(1)set'of°Energy For'rris;'R-O-W Permlt for new.construction, <br /> , �y,if�;;:;,-� ;Minimum:ten�,(:10)working;daysafter.§utimittal-date. Required'onsite;Con'struction Plans,Stormwater Plans w/�Silt Fence installed, <br /> - -- Sanita:ry,Facilities R,1�;.dumpste,r•,Site:Work�Permit'for•.subdivisionsflarge.projects_ � <br /> =,COMMERCIA,L. Attach°(2)�compleCe 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,ConstrucUon Plans,Stormwater Plans w/Silt Fence:installed,. <br /> Sanitary Facilities 8 1 dum,pster.Site Work Permit foc•all new p�ojects.Ali commercial requirements must meet compliance <br /> �SIGN PERMIY AtfacFi"(2j sets of�,Engineer�d Rlans: , <br /> - """"PROPERTY SURVEY required for aII.NEW construction. <br /> ;� _ .._.__. <br /> ��=Directions: � _ -. � . <br /> Fill out application completely. <br /> ' Owner 81�nVactor sign back of.application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> {. .,. :.;..;;-; <br /> " Agent(for the�cont�actbr)`or Powerof Attomey(for ttie oiivner)would be someone with notarized letter from owner authorizing same <br /> OVER THE•COUNTER:PERMITTING�_. (copy_of conVaet-required) ' , <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) �i y <br /> Driveways-Not over Counter if on public rdadways..needs ROW \\ <br /> � <br /> � � <br />