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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> : , <br /> � Date Received � ��� �� phone Contact for Permitting �� l(J�(� -� � � <br /> Owner's Name ��Q�� r�� �(� n Owner Phone Number p ��` b S� 3 <br /> Owner's Address �(j ���(� J Owner Phone Number <br /> Fee Stmple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address /'1 <br /> JOBADDRESS � I (�(,� (f (x.� LOT# � <br /> SUBDIVISION �« V.iV"� �7A' PARCEL IDf� I�-� ��'�� J- vV -O��1: <br /> (OBTAINED FROM PROPERTY TA7(NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �-}/� •e Q��•��Ti�c'� ys�_F�c sC �k�r� � w� i f�W �iS r�/�?�( <br /> BUILDING SIZE SQ FOOTAGE 1 �� HEIGHT � i''rt ��1 cX-e�l�r <br /> LI I �J I <br /> QBUILDING S VALUATIONOFTOTALCONSTRUCTION <br /> �ELECTRICAL $�J� �,�1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ��ECHANICAL $ ��I�,� VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License i� <br /> ELECTRICIAN COMPANY S ��U� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address `�� �'� r�l�`��,- ���'//-�� '( License# �� v(Y�(�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L'cense# <br /> MECHANICAL COMPANY �v �e��V��� <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> � ���.J� � Y L License# 9 �� �i � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIItlllllllllllllillllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sil[Fence installed, <br /> Sanitary FeciliUes&1 dumpster;Site Work Pertnit for subdivisionsAarga 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucQon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit 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 /> Dvections:• <br /> Fill out appliration completely. <br /> Owner&Conlractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requtred. (A/C upgredes over$7500) <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 conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />