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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ,� �,�' Building Department <br /> �'`- - <br /> Date Received phone Contact for Permitting •• — <br /> Owner's Name ����l Q- � Owrner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS d.� � CO Cc � lI LOT# � <br /> sueoivisioN PARCELID# D3�6� � �'�� ��'��v`D'�d 3 D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e .. NEW CONSTR B ADD/ALT Q SIGN Q � Q DEMOLISH <br /> INSTALL -REPi41R <br /> PROP,OSED`USE Q SFR Q COMM 0 OTHER . <br /> TYPE:OF CONSTRIJCTION Q BLOCK • Q FRAME 0 STEEL Q <br /> ��, _ L ( � <br /> DESCRIPTION OF WORK O -� � � T "'�/ lA �-Q <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT • <br /> Q BUILDING $ VALUATIOIV=OF TOTAL CONSTRUCTION <br /> . ELECTRICAL $ ) 2 5 AMF SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> (D <br /> QPLUMBING $ - /� ^ �/ <br /> �/ fi <br /> �� � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I, <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER C/��� <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 /> P,LUMBER., , COMPANY <br /> SIGNATURE REGISTERED Y•/ N. FEE CURRE� Y/N <br /> , Address. License#` . <br /> - .MECHANICAL COMPANY b�.�ll-P (��2C �L Ao1lJ � �( �1/�- /G� <br /> SIGNi4TURE'`' � REGISTERED - ; Y/ N , FEE CURRE� Y/N <br /> Aaaressr-' Gc License# -L��� ��� �2�P� <br /> ;:iM_ .,. . <br /> ...OTHER' `, • ' COMPANY <br /> ,�° SIGNATURE;�.�.- �_ . - REc�SrEREo Y/.N FEE CURREK Y/N <br /> �Address:,. �.. • — ' `" ' Cicense# <br /> `�;RESIDENTIAL,�; '-Attacfii(2):PIot:P.lans;(2):setsof'�Buildirig�Plan§;(1•)°set ofEnergy'For�iis;R=O=VV.Pertnit for new.construction,�* <br /> - ,. •. =-•-� -:-�Minimum:ten,..(10):working;days afte�;"su6mittal�`dafe. Required�onsite;CansUiiction•Plans,�Sformvirater Pians w/Silt Fence installed, <br /> .-� :,;.P�u.;�_:,:-, .� ; -. <br /> ;,;. ;_, _ Sanita.ry.;Facilities�&;1�;dumpster Sife;Work Permit forsubdivlsionsflarge`:projecfs� � • � � <br /> ';�:COMMERCIAL Attach(2)compleCe'sets of'Buil�ing 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,ConsUuction Plans,Stormwater Plans w/Silt Fence installed, <br /> �• - Sanitary Eacilitles 8�1 dumpster..Site Work Permit fo�all�new projects.All commercial requirements must meet compliance <br /> -;,.�' ,� . <br /> +,:.:SI'GN:PERMIT 'AttacFi(2)`sets.of;Englneered�Plans:��� ,: � _ ' � <br /> �'��•' R*}MPROPERTY SURVEY.repuired fot_all NEW construction.. <br /> ,.�. __ _. . <br /> :Df�ectloris: >� .__ ... ., �. <br /> � �=Ffll:out application completely. <br /> 'O.wne[:8 Contra�tor sign back of application,notarized <br /> lf over=$2500,a Notice:of Commencement is required. (A/C upgrades over$7500) <br /> ,�� `.. q;,;.'y . <br /> i9gent-(for�th'e•cont�actor)�orPower'of'Attomey(for tFie�oinrne�)would`tie someone with notarized letter from owner authorizing same <br /> i:`'OVER.THE COUNTER�PERMITTING, .. (copy_of_contract•required) ' ' � - � � <br /> 'Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) . <br /> jDrPveways-Not over Counter if on public roadways..needs ROW ` � ' <br />