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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ��. <br /> • Building Department <br /> . <br /> Date FtQaeived � <br /> � Phone Contact for Permitting � — <br /> Owner's Name Owner Phone Idumber <br /> Owner's Address �ll,W n �� l� 'Q� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS d�� /�U I� Y`�U� LOT# � <br /> SUBDIVISION: PARCEL ID# ��� —� � J ���� r�,� � ��V <br /> (OBTAIPIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e . NEW CONSTR e ADD/ALT � SIGN Q � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP..OSED USE Q SFR Q COMM Q OTHER . <br /> TYPE:'OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � l GL��. d 0 —�U `�U l��t �J !��'l � <br /> BUILDING SIZE SQ FOOTAGE.� HEIGHT •. <br /> QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> �v,�� <br /> � LECTRICAL $ �JL � AMP SERVICE /� � PROGRESS ENERGY Q W.R.E.C. <br /> o� i <br /> QPLUMBING $ � 2� 2/ <br /> .. ���� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �� 1 <br /> Q,GAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPAIdY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address `License# <br /> � "'ELECTRICIAN • � � COMPANY �� l�C V��C�� G�G. �� � <br /> 81GNATURE REGISTERED Y/ N FEE'CURRE� Y/N. <br /> Address ��. �� License# �L�O�U ��� <br /> PCUMBER.; COMPANY- ' <br /> SIGNATURE REGISTERED Y�/'N FEE CURRE� Y/N <br /> Address License#' <br /> ; MECHAIdICAC � COANPANY <br /> '�`SIGNATURE''' ' � REGISTERED Y/ N FEE.CURRE� Y/N : � , <br /> . � , <br /> � Aad�ess-� - - u��se.# <br /> :�^."i,�•:' ..... <br /> `:. OTHER �''c` > COM,PANY <br /> ���SIGNATURE`z><r; .^ REGISTERED � . Y/ N FEE CURRE� Y/N <br /> Address:-: • • - � ' � Cicense# - <br /> '�`�� _ . . - . - . .. , <br /> �`�RESIDENTIAL;<�:;:�AttacFi�(2)';Plot`�P,lans;''(2)�sets-of�Builtlirig=Plans;T(1•)'set ofEnergy�Forms;R;O-W Permit.for new.construction, . <br /> �_Y, „ �r�::�;:.>:.��-,�,Minimum:;ten;(.10).iniorkingiiJays,afte�§u6mit4al�8ate. Required onsite;GonstnictiomPlans;Sto[mwater Plans w/Silt Fence installed, <br /> . � ,, :.;... , �_ . _.... . .. . . <br /> � ,�' ' ��Sanitary;Facilities.&�1,.dumpster;Sife,Woric Permit for;sutidivisions/large"p�oJects� _ � -' � � - <br /> �.r:COMMERCIAL Attach`"(2•)`complete�sets'of Building Plan§plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constniction. <br /> � Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> "�_ Sanita.ry FaciliUes 8�,1 dumpster.Site,Work Permit fo��all-new�projects.All commercial requirements must meet compliance. <br /> ��,�'SIGN.PERMIT `Attacfi"(2)'sets;of;Engineered:Flans.�� • � <br /> ��- "'**PROPERTY SURVEY required for.all,NEW.construction._ <br /> '`�Directions: • ,¢�..._ � , <br /> Fill:ouYapplication completely. <br /> - Owne['&,Contraotorsign back of�application,notarized <br /> � `If over$2500;a Notice.of Commencement is required. (AlC upgrades over$7500) <br /> ° "' , i4gent'(forfFi'e�conf�actor)�or�Power of'Attomey(for tlie o"wner)would tie someone with notarized letter from owner authorizing.same <br /> �'�.':OVER.THE,COUNTER:PERMIT.TING,.. ..;(copy_of.conVactrequired)� � ' <br /> �;Reroofs if shingles ' Sewers SeMce Upgrades A/C Fences(Plot/Suroey/Footage) <br /> ' Driveways-Not over Counter if on.public�oadways..needs ROW <br />