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813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021 <br /> Building Deparlment <br /> f � �J <br /> Date Received 3` /� Phone Contact for Permitting — Z � <br /> Owner's Name ��i` \�� Owner Phone Number <br /> Owner's Address \� l�� Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � LOT# � <br /> SUBDIVISION PARCEL ID# "��Ol ' v� '���.��� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK M CQ. fCiX�J'�'�� � � ILJ./�ILJ <br /> BUILDING S¢E SQ FOOTAGE HEIGHT � <br /> �BUILDING $ /��/1�� VALUATION OF TOTAL CONSTRUCTION <br /> VLlLJ <br /> �ELECTRICAL $ OO AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> {� v� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �/ <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �w � <br /> g���- <br /> BUILDER C�MPANY �X�`C ` S �C I <br /> SIGNATURE � REGISTERED Y/ N FEE C Ren Y/N I <br /> Address pi��,z', [ � �.� �" � License# �c..J�-CJ•�� /�� <br /> � v ` n � <br /> ELECTRICIAN COMPANY T�I �� \�\ <br /> SIGNATURE REGISTERED Y/ N FEE n Y/N <br /> Address ( �'j � �I License# ! <br /> PLUMBER COMPANY <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 /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Build(ng Plans;(1)set of Energy Forms;R-O-W Perm(t for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, I <br /> Sanitary Facilities S 1 dumpster,Site Work Permit for subdivisions/iarge proJects ' <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(1 D)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpster.Site Work Permil for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. I <br /> Directions:• • • • • • • • • II <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over 57500) <br /> " Agent(for ihe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conUact required) <br /> Reroofs if shingtes Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />