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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> � M <br /> Date Received � <br /> Phone Contact for Permitting -� — <br /> Owner's Name Owner Phone Number 3(/ � (p <br /> Owner's Address � L(f �� • �� I�j 'V Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � l I IC71'V LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B �. NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPi41R <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE'.OF CONSTRUCTION' Q BLOCK �- Q FRAME 0 STEEL Q <br /> .� <br /> DESCRIPTION OF WORK ��-- �CC`e. <br /> BUIL"DING SIZE SQ FOOTAGE , HEIGHT • <br /> OBUILDIfVG $ VALUATIOIV'OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � � <br /> �PLUMBING $ (�� ��w�r �� �� � <br /> �rvv • � �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N <br /> Address License,# - <br /> �. ELECTRICIAN COMPANY <br /> SIGPIATURE REGISTERED Y/ N• �`FEE CURRE� Y/N <br /> � Ada�ess . ����SQ# . <br /> .�, ' . <br /> PCUMBER.,,,. COMPANY,- . �' � � <br /> SIGNATURE REGISTERED - Y/:N � '. FEE CURRE� Y/N <br /> Address � License# : <br /> MECHANICAC � COMPANY <br /> SIGNATURE' � REGISTERED ,' �Y/.-N FEE CURRE� , ;� Y/N _ - <br /> _, ; - <br /> Aadress,� . �� " � License# <br /> ,r'c;. .. <br /> OTHER�� '" � ' COMIPANY <br /> �``SIGNATURE'�{ :'_ ' - � REGISTERED Y/ N FEE CURREK Y/N i <br /> t; ,. . t , - ' ' <br /> Address,:>.;., •- _ - . � ' � ' License# <br /> :,: � <br /> -4�i.-.0 % ��� � <br /> �">":RESIDENTIAL�.�>�� .i4ttacti;;(2):Ploti'P.lans;�:(2):sefs of Building Plans;(1�)`set of�EneFgy;Forms;R=O=W Permit,for'new.construction,� <br /> -,,,;A�;<:�>:;;-.-,.Mi�nimum;;tem(;10)�.working;days afte��sutiinittal�date. 'Requireii_onsite;Con`stru'ction Plans;Stormwater Pl,ans w/Silt Fence installed, <br /> • Sanita.ry,.Faciliti,esr8�1 dumpster;Site;Work Pecmitfor;subdivisionsAarge`p�ojects'- � � -- <br /> ;;�COMMERCIAL AttaaFih(2)'complete'sets of"Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> � " Mlnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiitfes&1 dumpster.Site Work Permit fo�all-new projects.All commercial requirements must meet compliance <br /> s��;$IGN:PERMIT 'Attach(2j sets:,of;Engineered:Flansa? : - <br /> �r��` **""PROPERTY SURVEY,required for all NEW..construcUon: , <br /> :..� , .......�._,._:..__.. ... <br /> .:...,.. . ..,. . :.. <br /> �:,. . <br /> .. ... . <br /> •r'`aD��@GtIOflSC v� ._;ci's". ' , <br /> '" FiIl.:ouYapplication completely. <br /> ` Ouvner:&Contraotor sign:back of application,notarized <br /> r` If over$2500;a Notice of Commencement is required. (A/C upgrades over$7500) _ <br /> `�"' Agent(for�fh'e�cont�acto�)°orPower of'Attomey(for'tFie owner)wauld tie someone with notarized letter from owner authorizing same <br /> ��,:OVER.THE COUNTER?PERMITTING.. .(copy_of•contract�required) -- <br /> r` Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> � Driveways-Not over Counter if on public roa'iiways..needs ROW <br /> , , <br />