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� 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> � Date Recefved Q �p+ ;�,��q <br /> , • �� � / �� PhoneContactforPertnittin � ll7�l�.a+� <br /> Owners Name Owner Phone Number <br /> Owners Address l,l�1" • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOBADDRESS O � �lf-, I S ! C�— LOTl� � <br /> SUBDIVISION PARCEL ID# �O'���� I� �O ` — ^d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q V <br /> DESCRIPTION OF WORK 1rl � <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ � ��q �JAT-ION O�QTAL CONSTRUCTION <br /> c,� �Z� r�, <br /> QELECTRICAL $ GO �MP SER�I� w Q PROGRESS ENERGY Q W.R.E.C. <br /> J �i�` <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / // �/� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �) { ��J/ � � <br /> SIGNATURE REGISTERED / N FE RREI. Y N <br /> Address D "l� � License# <br /> ELECTRICIAN MPANY ' rT <br /> SIGNATURE REGISTERED / N FEE CURREA /N <br /> Address � � � E • 0 e �� License# �� � 'L�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> � Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111 <br /> RESIDENTIAL 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 submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Pertnit for new construdion. <br /> Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> Dlrectfons:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicaGon,notarized <br /> If bver E2500,a Notice of Commencement is requfred. (AIC upgrades over E7500) <br /> " Agent(for the contractor)ar 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 />