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1 <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> , Date Received Phone Contact for Pertnitting <br /> -I-i-�-i-i' <br /> Owner's Name D .e l • Owner Phone Number J v -✓7 d <br /> Owners Address . [. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS Gf � J S LOT# � <br /> SUBDIVISION U I C'Y PARCEL IDl� - ` -� D �DO r�O" � <br /> (OBTAINED FROM PROPERTY T/U(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 <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK <br /> ' 1/n �� <br /> BUILDING SIZE SQ FOOTAGE I7]' HEIGHT (� r <br /> UILDING S � �� r�o VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />� BU�LDER COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N �E cuw�n Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE rtEclsTeaeo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY I <br /> SIGNATURE rtEcisrErtEo Y/ FEE C w�n Y!N <br /> Address !J - ��G 33.SY,J'-License# � � <br /> IIIIIIIIIIIIIIItllllllllllllll 111 IIf111111111111111111111t1111111 <br /> RESIDENTiAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies 8 1 dumpster,Site Wark 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 Permit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,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 construction. <br /> Dlrections:• <br /> Fill out application wmpletely. <br /> Owner&Contractor sign back of applica6on,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over 57500) <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 (wpy of conUact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />