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813-780-0020 City of Zephyrhills Permit Application a� �a so-ooi� <br /> i Building Departrnent <br /> c y , � <br /> � � ; <br /> Date Received — �-�l phone Contact for Permitting 3 �� _37� <br /> Owner's Name Owner Phon umber <br /> Owners Address Owner Phane Number <br /> Fee Sfmple Titleholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS J�I I �� LOT# � •. <br /> SUBDIVISION PARCEL ID� � �� �� "' O�W ~ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK W� �V <br /> BUILDING SIZ SQ FOOTAGE� HEIGHT � <br /> BUILDING $2 ab� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/0�1!�'T1� ��/__ �y�yw� <br /> � U���. ��rf- <br /> QMECHANICAL d $ 3.��0' G,� VALUATION OF MECHANICAL INSTALLATION � �� <br /> /vw / <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � ���✓ � <br /> FINISHED FLOOR ELEV I NS FLOOD ZONE AREA �YES N�`�/ L�����D- _ <br /> LJ � Q rc,�-�i <br /> G ^ n (� <br /> /�,/�`T�,l�•'N /� �2e1�'�� <br /> BUILDER COMPANY ''� W� vl'�L/l V J I, ' � <br /> SIGNAiLRE ReGlS�rtEo Y/ N FEE CURRE� Y/N �� <br /> Address 5 � • ��V License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N-.� <br /> Address �J .J �C.JUlti1��V�t�x �L ' � License# '� �Rn6��Z�� <br /> PLUMBER ' �,,p (� �() �n� COMPANY v�n � C-�E/7 �L L%�-� �U � <br /> SIGNATURE �-'l t�'��w� r�GisTEaEo Y/ N �cuaaen Y/N <br /> Address License# � � �� � <br /> MECHANICAL �� � , COMPANY L�T e�✓ ���I <br /> SIGNATURE REGISTERED Y/ N �c RRE� Y/N <br /> Address License� � <br /> OTHER COMPANY <br /> SIGNATURE RECIsrE� Y! N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllltllllllllll <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,ConstrucGon Plans,Stortnwater Plans w/Silt Fence installed, <br /> San'dary Facilities 8 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets af Engineered Plans. <br /> ""PROPERTY SURVEY required for aIl NEW consWction. <br /> Directlons:• <br /> Fill out applicaUon completely. <br /> Owner&Contractor sign back of applicafion,notarized <br /> If over 52500,a Nodce of Commencement is required. (AIC upgrades over s7500) <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 />