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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Buiiding Department <br /> Date Received /�f C � <br /> F(/ ,�/ . Phone Contact for Permittin � ��l <br /> i — <br /> ' Owner's Name l Owner Phone Number <br /> i Owners Address -1 Co / (� li� Owner Phone Number <br /> � <br /> � Fee Simple Titleholder Name Owner Phone Number <br /> ' <br /> � Fee Simple Titleholder Address <br /> I <br /> JOB ADDRESS �� C. �71J� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> � TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �//,LZ I i J �'L''� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ �Q G1J AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ {�• /��� � <br /> � � � ( � <br /> I QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 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 CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY S`����i�� �c 1L �`7 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address l7�c�'/� � C (�y�7733Z�cense# ODp/D �o <br /> PLUMBER j Y�'/��,� COMPANY ��Sy�!a fS �-/�C�C <br /> SIGNATURE �(�(J(/�// REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �� a o o�s�b <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> � OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br />, Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br />� COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new consWction. <br /> � Minimum ten(10)working days after submittal date. Required onsite,Construclion Plans,Stortnwater Plans wl Siit Fence installed, <br />, Sanitary Facilities 8 1 dumpster Site Work Pertnit for 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 construc6on. <br /> • • • • • • • • • • • • • • • • 7 • • C7 • 75566767C7C6 ' • 76 • 7 • SSB�' • <br /> I Directions: <br /> Fill out applicaGon completely. <br /> Owner&ConVactor sign back of applica5on,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhoriang same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> : Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />, �� <br />