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� � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> Date Receivad Phone Contact for Permitting p��`a-�IO eX'�i �QJ <br /> —r-m ' ,Tr — <br /> � Q a <br /> Owner's Name . � � ����. Owner Phona Number �� � J 7 <br /> Owner's Address ,�'7. / ��. Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phona Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS e . LOT# � <br /> SUBDIVISION �C PARCEL ID#(7 — �C�I � ��D <br /> (09TAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUC110N Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C.IO J ' /f� � I � <br /> BUILDING SIZE SQ FOOTAGE�LI� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> i QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �r� L <br /> �MECHANICAL $ J � VALUATION OF MECHANICAL INSTALLATION / 3 <br /> (O �' , r <br /> QGAS Q ROOFING Q SPECIALTY � OTHER /V Q� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES 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 /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y J N <br /> Address License# <br /> MECHANICAL COMPANY u.S. /T!� �/�J D17!� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass pC ! � � p L.J� License# � `� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permlt for new construction, <br /> Minimum len(10)working days after submittal dale. Requ(red onsite,Construction Plans,Stormwater Plens w/Silt Fence instalied, <br /> Sanftary Facilitles 8 7 dumpster,Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Petmit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles&1 dumpster,Site Work Permit 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. <br /> Directlons: <br /> Fill out applicetion completely. <br /> Owner 8 Conlractor sign back of application,notarized <br /> If over$2500,a Notice of Commencament Is requlred. (AIC upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter trom owner euthorizing same <br /> OVER THE COUNTER PERMITTING (copy of contracl required) <br /> Reraofs If shingles Sewars Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Drlveways•Nol over Counter if on public roadways..needs ROW <br />