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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �, ' Bi;!I�gIIe�a�ment <br /> Date Recelved Phone Contact for Permitting 7 aZl - O O � el��• d� <br /> �.�„�_�,�.�.�_.�.. - - -r-r r r r <br /> Owner's Name Owner Phone Number � � ' � 1 <br /> Owners Address Owner Phone Number � I� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT# � <br /> SUBDIVISION e PARCEL IDlf � �^ —a <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED NEW CONS7R �ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK E D .S. ��-�.�\C,`O ^ <br /> BUILDING SIZE 50 FOOTAGE� HEIGHT � <br /> TTT!'TTTTlT'R�RT�TTTTrr!"fT'TTTTrrrITTTTP"r'�rTTTTl� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � SoI�� <br /> � `/ (� �.�� <br /> . U�" - (y�j <br /> �MECHANICAL $1� �'Op VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER �1 �//�/'� <br /> _ (, V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO l.� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass license# <br /> MECHANICAL COMPANY U�S �1/ <br /> SIGNATURE REGISTERED N FEECURRE� Y/ <br /> Address � � License# l., �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> � i � � � i � � ii � iii � i � � e� � � � � � � i � i � ieii � i � i � � � i � i � i � i � � � � i � i � � �� i � i � i � i � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conslructio�Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meel compliance <br />' SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••••PROPERTY SURVEY required for all NEW construction. <br /> �i-f-1-i-1-i-i-f-►-i-{-i-L-1-6�FL-L�L-i-1-�4-1-L-F-I+i-�Fi-f-t-i-4+-F-1-H-L�F�.FL-i-t-f-4�f-F-1-f-FL-HFK-f-i-1-i-I.�F <br /> Dlrectlons: <br /> Fill out application completely <br /> Owner&CoNractor sign back of application,notarized <br /> If over 5z500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> '• Agent(for the contractor)or Power of Atlorney(for the owner)wouid 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />