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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> ' • Building Department <br /> , � � <br /> i <br /> Date Recelved <br /> Phone Contact for Permitting � — <br /> Owner's Name ,, \�V� Q� F— Owner Phone Number C"� C.� <br /> Owner's Addlress � ���� �S� Owner Phone Number ��� � p� 1 \ \. <br /> �� <br /> Fee Simple Tptleholder Name Owner Phone Number <br /> �I � , <br /> Fee Simple Tltleholder Address . <br /> JOB ADDRE I S � C9�-� �S LOT# I O <br /> � � <br /> SUBDIVISION PARCEL ID# , <br /> (OBTAINED FROM PROPERTY TAX NOTICE) , <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q � Q DEMOLISH , <br /> e INSTALL e REPAIR <br /> PROPOSED UISE Q SFR Q COMM � OTHER ' <br /> TYPE'OF CO ISTRUCTION Q BLOCK - Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK G vC-C ,C % � � v� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> � <br /> 0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION � <br /> ,�� I <br /> I/ XIELECTRICAL $ . �`pp AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. 'I <br /> ��,` � <br /> QPLUMBING $ � <br /> i <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � 1!�/ / y <br /> � 1 �, �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �(,f , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> �I �, <br /> �I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> i - <br /> Address � �License# <br /> ELECTRICIAN ; COMPANY � � lA S��. / � t <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> , Address , o� S . � Cicense# � ��� � I� <br /> i lPLUMBER COMPANY <br /> SIGNATURE REGISTERED Y-/ N FEE CURRE� Y/N i <br /> ' ' V - - <br /> � Address - License#'• ' ' <br /> MECHANICAL , _ , COMPANY - <br /> SIGNATURE' REGISTERED r.E Y/ N FEE CURRE� Y/N ' <br /> Add�ess ' , _ L•icense#� <br /> -OTHER� '"' COMPANY ' <br /> SIGNAT.UREr. ,.. - REGISTERED Y/ N . FEE CURRE�' Y,/N <br /> Addcess- • � � � ' License# <br /> RESIDENTIAL -,� Attach.(2)iPlot'Plans;(2)�setsof�Building�Plans'(1)set of�Energy Fo,rms;R;0-W.Permit,for new construction, <br /> � , , � Minimum:ten�(10)working,d"ays after°subrriittal date. Requireii onsite;Construction Plans,_Stormwater.Plans w/Silt Fence installed, <br /> ' Sanita,ry�Facilities.&_1�.dumpste[;Site Work Permitforsubd'ivisions/large projects. , _ <br /> COMMERCIAL � Attach-�(2)'corriplete sets of BuilBing Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Perrtiit for new construction. <br /> > � --- -- ' Minimum ten(_10)-working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> ' Sanitary Facilities&1 dumpster.Site Work Permit fo��all new projects.All commercial requirements must meet compliance ' <br /> ' �SIGN PERMIT 'I Attach`(2)sets ofEngineered Plans. ', <br /> ""*PROPERTY SURVEY requi[ed for.all.NEW.consWction. <br /> i - <br /> �Directions: � � .. � <br /> FiII ouYapplication completely. <br /> . Owner&Contiactor sign.back of application,notarized <br /> • If over$2500,�a Notice of Commencement is required. (AIC upgrades over$7500) ' � <br /> " Agent(for`4h'e�contractor)orPower of Attomey(for�the owner)would be someone with notarized letter from owner authorizing same �; <br /> .OVER THE COUNTER PERMITTING (copy of contract required) , <br /> Reroofs if shingles �, Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) - 'i <br /> Driveways-Not over Counter if on public roadways..needs ROW I, <br /> � <br /> I <br /> , I <br /> - I ---. . <br />