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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permitting 9 lP�� <br /> -ITTrfT�T I-f- ? <br /> Owners Name �. � :� 1 C Q-- Owner Phone Number � ` l(1 "'J��� <br /> Owners Address QD l��� � � Owner Phone Number <br /> Fee Simple Titleholder Name �L (� C� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C.�l l� z V� I� � LOT# li(J� 1 <br /> SUBDIVISION PARCEL ID# �O / <br /> (OBTAINED FROM PROPER TAX NOTICE) <br /> WORK PROPOSED � NEW coNSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OFCONSTRUCTION ��BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � Ct � � lS� <br /> BUILDING SIZE SQ FOOTAGE L� HEIGHT � <br /> -rrrrrr-rrr'r'rr'r-rrrrrr-rrrrrrrrrrrrr� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER�^ COMPANY �@� SO-!1 eS S <br /> SIGNATURE REGISTERED Y/ N FEE CURR A Y/N <br /> Address K /2 I ��1+1 J 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 CURRE� Y I 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllitlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sil[Fence installed, <br /> Sanilary Facilities 8 1 dumpster;Site Work Permit Tor subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Fortns.R-O-W Permit for new construclion. <br /> Minimum ten(10)working days after submittal date. Required onsile,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Directions:• <br /> Fill out application completely <br /> Ovmer&Contraclor sign back of appiication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> I <br />