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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ,; • Building Department <br /> .�r: ti <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name ��� Owner Phone Number . ��[ `��`��b� <br /> Owner's Address � �� Owner Phone Number <br /> Fee.Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS v�� / � S LOT# � <br /> SUBDIVISIOfV PARCEL.ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED B .. NEW CONSTR B ADD/ALT Q SIGN Q � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP..OSED USE. Q SFR Q COiUIM � OTHER <br /> TYPE':OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 4C7 !/� ��/1CG ' <br /> BUILDING SIZE �FOOTAGE �Z� HEIGHT • h <br /> Q,BUILDING $ / y��`DO VALUATION'OF TOTAL CONSTRUCTION <br /> �O <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r� �� �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � � �` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY C(/� � CQ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address srlS 6 (� L�/' License# <br /> -�'ELECTRICIAN COMPANY <br /> ,. SIGNA'iURE REGISTERED Y/ N FEE CURRE� Y/N <br /> . Address - License# " <br /> PLUMBER_,., , COMPANY � <br /> SIGNATURE � REGISTERED Y�/ N ` " .FEE CURRE� Y/N <br /> Address ' <br /> License# . <br /> :: ,MECHAIVICAL COINPANY <br /> 81GNATURE�' � " REGISTERED , Y/ N FEE CURRE� Y/N <br /> Addre"ss��' � License.# <br /> x.::"s;, � _.. <br /> .. OTHER�� =5` � � COMPANY <br /> , SIGNATURE'.�.� :� - ' REGISTERED Y/ N FEE CURREK Y/N <br /> ' z�, .� . � . . � . <br /> , Addressr» _ . � � � License# <br /> . ,;.::._-_:: <br /> ���`.RESIDENTIAL;;�_: Attacfi;(2):Plof.-Rlan's;'(2)�sefs of�Building=Flans;(1�pset of�Energy;Forms;R'-O=W Perriiitfor new.constiuction,�� <br /> l � - ��Mini,mum�,ten.(;10),working;iiays:afte�.sutimittal:date. Required`bnsite;``Construction Plans;Stormwater�Plans w/Silt Fence.installed, <br /> ��r, ,' "a'::�'.y�S`�'t'�.. .,�, � �: <br /> .� 'Sanita,ry..Facilities;&�`1�,dumpster;Sife��Work-Fermitfor,subdivisions/large projects <br /> ;_`s.COMMERCIAL Attach(2)'complete'sets of Building 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 FacilfUes&1 dumpster.Site Work Permitfo�all-new projects.All commercial requirements.must meet compliance <br /> ����,.SIGN�PERMIT 'Attach(2)sets;o�;Eagineered�Flans:�� •, • <br /> :,..:;>._ <br /> :�_�;� ""'"PROPERTY SURVEY[equired for.all.NEW.,construction. <br /> �. ........� ..__ � <br /> ?-`�r Directions: fl� >__ ;, ,. <br /> '� F11Aoutapplication completely. <br /> " Q.wner:&CanVactor sign.back of application,notarized <br /> 1f over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> ��•:... •F..- �.. ,. - <br /> AgenY(for th'e�contFactor)or°Power'of Attomey-(for tFie owne�)would tie someone with notarized letter from owner authorizing same <br /> �"�OVER..T.HE COUNTER:PERMITi1NG. ,,..,: ::(copy.of cont'r'act<required)" " ' " <br /> ,�Reroofsifsfiingles ; Sewers,�, ,. Ser,vlceUpgrades A/C ;� Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public'roadways:.rieeiis ROW �� <br />