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i� <br /> � <br /> , ;,�-,..� �� • 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ! <br /> Building Department � <br /> I , <br /> Date Received <br /> I� Phone Contact for Permittin -- <br /> i <br /> `' � 1 <br /> il Owner's Name .�0.Gv...�{� ^� L Owner Phone Number 3� <br /> j' Owner's Address ��� ,�' •1 ��Q„ Owner Phone Number ��1� �"1 ' O�O <br /> � <br /> �� Fee Simple Titleholder Name Owner Phone Number <br /> I Fee Simple Titleholder Address � <br /> 3 g � 0 <br /> i� JOB ADDRESS LOT# <br /> I SUBDIVISION h (A�O�� y PARCEL ID# 1 I�� � -Q'��-� ��� � � <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw cONS7R ADD/ALT � SIGN Q 0 DEMOLISH <br /> 8 INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> I� TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> � <br /> �� DESCRIPTION OF WORK V 0.� � � n � ' <br /> �I BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> '� QBUILDING $ ' <br /> i' VALUATION OF TOTAL CONSTRUCTION <br /> OELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �� <br /> OPLUMBING $ <br /> il �MECHANICAL $ �p VALUATION OF MECHANICAL INSTALLATION � ` �� �� <br /> I 06, <br /> N QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <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 /> i <br /> MECHANICA COMPANY �aSy ' � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permil for new construction, <br />' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sil�Fence installed, � <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects ' <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. i <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpstec Site Work Permit for all new projects.All commercial requirements must meet complianca ' <br />, SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Dvections:• <br /> Fill oul applica[ion completely. <br /> � Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> � �' " Agent((or lhe contraclor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> II OVER THE COUNTER PERMITfING (copy of contracl required) <br /> li Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> i� <br /> ' Driveways-Not over Counter if on public roadways..needs ROW <br /> �� <br /> I � � <br /> � <br /> I� .� <br />