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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , � Building Department <br /> Date Recelved <br /> Phone Contact for Permitting �r�t7 � <br /> Owners Name / Owner Phone Number - 3--r� - �a 1 <br /> Owner's Address � r ' �1� �, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ( ( . LOT# � <br /> SUBDIVISION � PARCEL IO# - "� �"(��7�"C7/G�O6—C�C�+� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� \ <br /> WORK PROPOSED e NEw CONSTR� ADD/ALT � SIGN � Q DEMOLISH � <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � /L S" /QL o� l � . I I D K <br /> I BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ � � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS 0 ROOFING Q SPECIALTY 0 OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 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 /> MECHANICAL _ � COMPANY �`�5. ��� �pn���OY�\n <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit 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 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 Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Dlrections:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notfce 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 authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroots if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br />