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; 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ��2��� <br /> . Building Department � <br /> Date Received Phone Contact for Pertnitting — ` ���� <br /> Owner's Name Owner Phone Number C�X/��.�� <br /> 3�d —J � <br /> Owner's Address �� 1� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> /,/��p� �Fee S��Titleholder Address <br /> ff� �f �f._ <br /> JOBADDRESS � � LOT# � <br /> SUBDIVISION PARCEL ID# - G���a I�'�� -r � <br /> ! (OBTAINEDFROMPROPERTYTA%NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR a� COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � i� i � L�'TJ ' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT ��KS�'�S�tl/1� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �" �����w <br /> �,�ELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. /g��� <br /> �� <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 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 �_ (1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N I <br /> Address r7 V��\ �—f'(AIT� at: ��i �L3��L�ense# �V��/ �� 'i <br /> PLUMBER COMPANY I, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <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 License# <br /> Illlllllllllllllllllllllllllllllllllllllllllllllllllllllllllllltlll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wark Permit for subdivisionsAarge projects <br /> �COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit 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&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> •'••PROPERTY SURVEY required for all NEW construction. <br /> ' Directions.• , <br /> Fill out application completely. <br /> Owner&Contractar sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over b7500) <br /> •' Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI771NG (capy of conVact 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 />