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- ���r� � i �� � �a��s c�s��U�.�� <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Receiveil phone Contact for Permitting � p� — � <br /> 1 1 1 1 1 1 1 1 1 1 1 t 1 <br /> Owner's Name '�` Owner Phone Number <br /> Owner's Address � V� (� � Ct �" /LS Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O � ` �iS 7 � LOT# � <br /> SUBDIVISION Q(J PARCEL ID# �— ' —Ol(��— Q—G I <br /> (OBTAINED FROM PROPERTY 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 � OTHER Y1 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> :. <br /> .:f' <br /> DESCRIPTION OF WORK C��� ��� <br /> r /, � <br /> BUILDIIVG SIZE � � SQ FOOTAGE `7� HEIGHT <br /> I7C�BUILDING $ � �7�/ VALUATIONOFTOTALCONSTRUCTION <br /> l`-�r i 1S <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �.,�PLUMBING , ''t'�$ . �n/ �� <br /> ,k ' ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 1 <br /> BUILDER COMPANY S ` � �1 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� /N <br /> Address O �—� l..�`f� ` S License# C., r <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �_c REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 /> Illlllllllilllllllllllllllllllllllllllllllllllllllllllllllltlllllll <br /> RESIDENTIAL Attach.(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> ' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater_Plans w/Silt Fence installed,__ _ <br /> ---- --�—`--^— `"Sanitary Facilities&1 dumpster:Site Work Permii for all new projects.All comme�cial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "•'PROPERTY SURVEY required for all NEW construction. <br /> ._L. <br /> Directions: <br /> Fill out application completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over 32500,a Notice of Commencement is required. (A/C upgrades over 37500) <br /> •' Agent(for the 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 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 />