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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � Building Department - <br /> � , <br /> I <br /> Date Recalved Phone�Contact for Permittin ' — <br /> � ,,..- � - _ <br /> Owner's Name �'� Owner Phone Number <br /> i • . <br /> Owner's Addrelss ���m� � Owner Phone Number� � <br /> Fee Simple TltUeholder Name Owner Phone Number <br /> ;, • . - <br /> i <br /> Fee Simple Tit�eholder Address ' <br /> JOB ADDRES3 I( � T � LOT# �� <br /> I <br /> SUBDIVISION�, PARCEL ID# - <br /> ; . (OBTAINED FROM PROPERTX TAX NOTICE) <br /> WORK PROPqSED �cNEW.CONSTR - ADDlALT Q` SIGN -Q Q DEMOLISH <br /> I B, INSTALL B , REPAIR �� <br /> PROPOSED�USE Q SFR Q 'COMM Q OTHER <br /> TYPE OF CONSTRUCTION - Q� BLOCK ' Q FRAME Q 'STEEC Q <br /> DESCRIPTIOt�OF WORK ���� � �a- � (�n Il� <br /> BUILDING SIZ� ' ' SQ FOOTAGE " „ - HEIGHT ._ <br /> Q BUILDING $ VALUATION'.OF TOTAL CONSI'RUCTION � <br /> QELECTRIGAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLU BING r$ ' - '� ��� <br /> , � �� <br /> [�/�u1E�HANICAL $ 2�,.yy,� VACUATION OF MECHANICAL INSTALLATION <br /> �Z�C� i r , .. ' / <br /> QGA Q RO.OFING Q SPECIALTY Q OTHER� ' a, l � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMP`I4NY' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N' . , <br /> Address License# <br /> ELECTRICI_. ; � 'COMPANY � <br /> SIGNATURE '� REGISTERED Y/ N FEE�CURRE�' Y/N <br /> Address - � ` V � , License# . f <br /> PLUMBER ; � , • COMPANY-- - <br /> SIGNATURE � ; _ REGisTeREo Y./..N.. I .,FeeCu�ten` Y.-/N � <br /> Addressl . � 3 ..License,# <br /> •MECHANICAL �' �,�� COMPMIY. ��� � <br /> S� ��rS <br /> SIGNATURE I - ` ' � " �Gis7ERED Y. N FeE CuwtEn' •Y N . <br /> :, - <br /> 1:,, .c�, '7��.�SS /�=���'//C � � .. ' License# C��.lg'����� . <br /> Address '>-- ' <br /> •� . - <br /> OTHER ''j , � . � ' ' ,`;COM,PANY � <br /> SIGNATURE a •— � ' � � � ` ' 'REGISTERED ' ' Y/ N._ FEE CURRE� Y/N <br /> Addre I , � � . . - � ' Ucense# <br /> � � <br /> � �>s.,: . <br /> RESIDENTIAI:';-.Attacfi'(2)�Plot%P.laris;.(2)sets�:of�Bulldtng�Pians;(1)set oE.Energy°Fo"rms;�R-0-W Permlt for new construcUon, <br /> ;� �;`���Miqimum;,tenx(;10);•�wo,rt4tng;days after�subrrmlttal date:s R'equlred onsife;;Construcd'on Plans;Stortnwater'Plans w/Stlt Fence installed, <br /> � Sanitary FacfllUes;B=-1:;dumpsterSite°Worlc:Permit for subdiv(sionsAerge,�projeCts `- - <br /> COMMERCIE Altach(3)complete sets"of Building�Plan§plus a�Life�S'afety Page;(1)set of Energy Forms.R-0-W Permit for new construction. _ <br /> _ �. <br /> Minimum ten(10)worktng days after submittal date. Requ(red onsite,ConsUuctlon Plans,Stortnwater Plans wl Silt Fence installed, <br /> , Sanitary Facilides 8 1 dumpster.Site Work Permit for all new,projects:All cammercial requlrements..must meet compliance <br /> SIGN PERMI� Altach"(2)s'ets"of�Engineer.ed�t?lans.:,.,.�:r--=• , � � <br /> "•'PROPERTY SURVEY,reGuired far all_NEW construction.. . <br /> Dlrections• I �� �;�;":�t °-. ' <br /> Ffll out a plicatlon completely. <br /> Owner 8y Contractor sign back of applfcaUon,notarized <br /> If over�2500,a Notice of Commencement is requlred. (AIC upgrades over 5T500) ; <br /> ::.!;;;.; ., <br /> " Agent(for the contractor)or Povue�of�Attomey'(for fhe owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER.PERMITIING�•--��- -(Front of•Applicatlon Only)- <br /> Reroofs if shi�gles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) � <br /> Drivewaya-iVot over Counter if on public roadways..needs ROW <br /> � ; <br /> I <br /> I ' _. <br />