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` 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> " Building Departrnent <br /> Date Received g � <br /> •� �� o� 07 • �� Phone�Contact�for�Permittin 6 <br /> Owner's Name � Owner Phone Number /� � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> ,r ' - - <br /> Fee Simple Tltleholder Addresa � <br /> JOB ADDRESS C �// LOT# �� <br /> SUBDIVISION P.ARCEL ID# O � <br /> • , , (OBTAINED FROM PROPERTY.TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN` Q Q DEMOLISH <br /> INSTALL e REPAIR � <br /> PROPOSED:USE _ � Q SFR Q COMM �� OTHER C� <br /> TYPE OF CONSTRUCTION ' Q BLOCK ' Q' FRAME [� STEEC Q <br /> DESCRIPTION OF WORK � � ~ <br /> BUILDING SIZE " � "SQ�FOOTAGE� ,HEIGHT� <br /> QBUILDING $ -�-=-�.�..: .: .. <br /> , VALUATION:�F�TO'I'AL CONSTRUCTION - <br /> QEL'ECTRIGAL $ " AMP SERVICE Q PROGRESS ENERGY Q W:R.E.C. <br /> QPLUMBING $ - <br /> �"ECHANICAL $ � VALUATION OF'MECHANICAL INSTALLATION' � �� <br /> �-�- . � . - ..�j � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER• <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO <br /> — -BUI6DER--- -- ------ -- - - COAflPANY'.• , - --_ _ - - . - --- --- _ _- _— <br /> SIGNATURE REGISTERED Y/ N FEE CURREA ' Y/N <br /> Address • License#' ' " <br /> _ , .� ; , , _ _. <br /> ELECTRICIAW. � 'COMPANY'- ' ' � � �- - <br /> SIGNATURE � REGISTERED Y/ N FEE CURREk�- �� Y/-N <br /> Address ' � • - - � � ," . Ucense.#_ ,._ <br /> �: _. .. <br /> PLUMBER , COMP.ANY • st; , � � � <br /> SIGPIATURE` � " ' _ REGISTERED - Y/,r•N- ',.>FEE�CURREN_ ' Y./N. ;_; <br /> Address � , , IJoense�# , = - � <br /> MECHANICAI: ' � � - COMPANY, , i � � , �� _ <br /> SIGNATURE � ` REGI$TERED ./.N , ��.FEE CURRE�=_ ��N <br /> Address�' = � �/v License# C-OS�J , <br /> OTHER ' � - ` ';COMPANY � � _ . <br /> SIGNp►TURE -'�' = �-• "� ' � • ' � � " "REGISTERED - Y/ N._ � FEE CURRE� Y/N <br /> Addreas - �� . � � . -- - ` ' 'License# . • <br /> RESIDENTIAL:;� AttacFi(2);Plo.t�Plans;:(2)'sefs:of�BufldingTPlans;`(1)"s'et of Energy�Fortns;�R=Q=W Perrnit for'new construcUon, � <br /> y, Minimum�ten�(•1,0):wo,rlcing clays;after,=sutimittal�d'ate.:�Required onsite,�Constriictlon=Plans;=3tormwate'r'Plans w/Stlt Fence installed, <br /> Sanita"ry FaciilNes.&:.1,dumpster Site•Work:P.,ermit for subdivislons/Iarge projecCs,_ _ . . ' <br /> COMMERCIAL Attach(3)�complete sets'of Buliding Plens plus a Llfe Safe{y Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)worfcfng days after submittal date. Required onsite,Canstrucdon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Pertnit for all new:projects:_All commercia!requlrements_must meet compliance <br /> SIGN PERMlT Atta6Fi�(2)sets'of Engi_neer.ed�Plans.,� . .. .� � � <br /> "'"PROPERTY SURVEY reGuired for all,NEW construcUon.., <br /> Directlons: - .� -.^ II <br /> Ffll out applicatlon completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractoF)or Power of'Attomey(fo�Uie owner)would be someone with notarized letter from owner authorizin�same <br /> DVER THE COUNTER PERMITTING ---.�(Front of-ApplicaUon-Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) <br /> Drlvewaya-Not over Counter if on public roadways:.needs ROW � <br /> �,,,'""' <br /> jr <br /> 1 <br /> ;� ,. <br />