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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> -� _ �� � Building Department <br /> Date Recelved Phone Contact for Permittin - <br /> g.., <br /> Owner's Name Owner Phone Number <br /> Owner's Address ��eCJ( �-Pi��-�-�_ L%`, Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS ��� �� �� S LOT# � <br /> SUBDIVISION PARCEL ID# I � -��e - � N�O 0 �J - O/�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED .. NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP,OSED USE Q SFR Q COMM 0 OTHER . <br /> TYPE':OF CONSTRUCTION Q BLOCK • Q FRAME Q STEEL Q <br /> .. � . <br /> DESCRIPTION OF WORK (-t <br /> BUIL"DING SIZE SQ FOOTAGE a-p s HEIGHT • <br /> Q BUILDING $ ` � VACUATION�OF TOTAL CONSTRUCTION <br /> b <br /> QEI:ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ' <br /> QPLUMBING $ `/ �n <br /> � � ,� r� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br />� <br /> BUILDER COMPANY <br /> III <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 'ELECTRI,CIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License# ' <br /> x M � <br /> PLUMBER.,. COMPANY <br /> �SIGNATURE t��isTeReo Y•/'N FEE CURRE� Y/N <br /> Address - License#' <br /> �- .MECHANICAL � COAflPANY <br /> 'SIGNATURE`' REGISTERED , Y/ N EEE CURRE� Y/N � - <br /> Addre'ss��° � License.# <br /> ;F::. 1 <br /> . OTHER�• '"= r ' � COMPANY � <br /> ,"�SIGNATURE�.> ;= - �J REGISTERED Y/ N FEE CURREK Y/ <br /> . Address��.: ' • ����__;... � License# e L' �'- `��� �-- <br /> - - •t;.: - �-� . � , <br /> �• �_:�,; •��� <br /> •�`;`.RESIDENTIAL`;;-';AttacFi;(2);PloteP,lans;(2)'sets<of•Building�Plans;(1�)`set of�Energy'Forms;R,O-W Perrnit,for new.construction, <br /> . h�.i;';>s.:;:-:_��:Minlmum;.terr(10),.working;days"afte�sutimittaGilafe. Required"orisite;CanstruCtion Plans,Stormwater Plans w/Silt Fence installed, <br /> �;, - �� ������� ���Sanitary;Facilities;&;1,:dumpster;Sife._Work Permit for.>,subdivlsions/large`p�ojects� � � • <br /> r,;COMMERCtAL AttecFr(2)'coinplete�sets'of�BuiliJing�Plans�plus a Life Safety Page;(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 Permiffo�all new.projects.All commercial requirements:must meet compliance <br /> fi��SIGN�PERMIT Atta6Fi'-(2)sets.of;Engineered:Flans:�f �. : � <br /> ""•"PROPERTY SURVEY,required for aI1,NEW constrvction.. <br /> =_Dfrectloris: , ��;:_.. . , � <br /> � Fill:out application completely. <br /> Owner.&Contra�tor slgn back of application,notarized <br /> �, If over$2500,a Notice:of Commencement is required. (AIC upgrades over$7500) <br /> '- "'' Agent(for`tFi'e�conuactor)�orPower�ofAttomey(for tlie oinrne�)would be someone with notarized letter from owner authorizing.same <br /> '"OVER.THE COUNTER�PERMITTING, ... (copy_of contract•.required) " - , <br /> �`Reroof§if•shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> ' Driveways-Not over Counter if on public'roadways..needs ROW � <br />