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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Recelvea <br /> 1 � Phone Contact for Permitting — • <br /> Owner's Nam I � � ��C Owner Phone Number , <br /> Owner's-Addr ss ,�•� � Own r Phone Number <br /> � �G <br /> Fee Simpl�Ti leholder Name Owner Phone Number <br /> Fee Simple Tii eholder Address � <br /> JOB�11DDRESS �O PJ� C � " LOT# � <br /> SUBDIVISIO i PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED _ NEw CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED UISE Q SFR Q COMM 0 OTHER <br /> TYPE.OF CONSTRUCTION Q BLOCK - Q FRAME 0. STEEL Q <br /> DESCRIPTION"OF WORK F S�L �,�CA,� � ✓P�L f � � <br /> BUILDING`SIZE SQ FOOTAGE� HEIGHT <br /> � QBU LDING $�� VALUATION�OF"TOTAL CONSTRUCTION � <br /> C <br /> QEL CTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLIMBING $ <br /> QM CHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> QGP�S Q ROOFING Q SPEGIALTY [� OTHER <br /> FIPIISHED F IOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPAPIY `� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Addres � � License# S �— �v <br /> . � <br /> ELECTRICI, _ COMPANY <br /> SIGMATUREI '� REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Addres Cicense# � <br /> PCUMBER., COMPANY - <br /> SIGNATURE , REGISTERED Y-/ N� . FEE GURRE� Y'/N <br /> Address License�# <br /> , MECHANIC I COMPAfVY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address�� � � � � License# <br /> --;"s:> • <br /> OTHERu '-'° COMPANY <br /> ' 'SIGNATURE'� ''� ' � REGISTERED Y/.N FEE CURRE� Y/N <br /> ,>1:. . - . . .. . <br /> Address-�.,. - _'� - - -- -• � � License# <br /> 1 ' <br /> �'�`RESIDENTI � ?°„ Attacfi:.(2);PIoEP_lans;�(2)<sets-of Building'Plans;(1°)set of Energy'Foims;'R-O,W;Pemiit for,new'construction, . <br /> , Minimum ten',(:1'U)working;clays afte�,sutimittal-`ifate. 'Required�onsite;Con'struction Plans,Stormwater Plans w/Silt Fence installed, <br /> �`...��.::�'�.:. s_�..�.. <br /> � � Sanitary;-iFacilities;&�j1�,dumpster;Site,;llVork�Permit for.subdivisions/large=projecfs, ` ` � � <br /> .; ,COMAAERCIAL Attach�(2)'complete'sets�of Building`Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construotlon. <br /> - - I --Minimum ten(90)working days aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit fo��all new projects.All commercial requirements must meet compliance <br /> ', SIGN`PERMiT i4ttacFi`(2)sets of:Engineergd Rlans:`". � , ' . , <br /> "'"'PROPERTI'SURVEY required for_aII.NEW cbristruction. <br /> '=Directions:. l ,,_;.�;_.,:•v.. .: .�- - <br /> � Fill:out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> � If overg2500,a Notice of Commencement is requir�d. (AIC upgrades over$7500) <br /> �}s.... <br /> " Agent(fl r the�conrt�actoc)or Powerof Attomey(for�ttie ovirner)would be someone with notarized letter from owner authorizing same <br /> .'OVER:THE OUNTER,PERMIiTINGF,�,�=��.(copy�of-cont'r`act;�equired) ' - <br /> 'Reroofs If.shi gles Sewers , ;,Service,Upgrades A%C.� ,�.Fences(Plot/SurveylFootage) <br /> _ �_.. .. _ . � � ' _ , - ? <br /> Drivew ys-Not over Counter if on public roadways..needs R01N <br /> I _ .. .,_ ,- <br /> � -- - - <br />