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; 813-780-0020 City of Zephyrhills Permit Applicatian Fax-813-780-0021 <br /> � Building Department <br /> Date Received Phone Contact for Permftting <br /> -I"I�I-i <br /> Owner's Name �J ¢��t � Owner Phone Number <br /> .. .... ....... �� <br /> Owner's Atldress Owne�Phone Num6er <br /> Fee Simple Tltleholder Name � � Owner Phone Number � � <br /> Fee Slmple Tltleholder Address <br /> JOBADDRESS � � �� l6T# �� <br /> SUBDIVISION � � PARCEL ID# ��^� '� 'v�« �' Q�i `�a� <br /> (08TAINED FROM PR4PERTY 7AX NOSICE} <br /> WORK PRQPOSED e NEW CONSTR e ADD/ALT m SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q GOMM � 4THER <br /> 7YPE OF CQNSTRUG710N Q BLOCK Q FRAME � 57EEL Q <br /> DESCRIPTIOH OF WORK ���1 d 2(' (J.1 t f�� t• <br /> BUlLDING SIZE �- � SQ POOTAGE HEtCaHT <br /> QBUILDWG �� VALUATIONOFTOTALCONSTRUCTION <br /> �LECTRICAL $� !1 AMP SERVICE �,q f � OGRESS ENERGY Q W.R.E.C. <br /> (/ <br /> QP�UMBING �� <br /> QMECHANICAL �� VALUATI4N OF MECHANICAL WSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISNED F�OOR ELEVATIONS �� FLOOI)ZdNE AftEA DYES NQ <br /> BUt�DER � � GOMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ � <br /> EI.ECTRICIAN ��,�� COMPANY t QC�L � Fi' II�tC��CQ� " <br /> SIGNATURE �i_,,,,,, REGiSTERED Y1 N FEECttRREh YI <br /> "_..... .. `� <br /> Address �� License# �Q ���o� I <br /> PLUMBER � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �icense# �� <br /> MECHANICAL � � COMPANY � <br /> SIGNATtlRE REGtsTe�o Y 1 N Fee CUR�n Y 1 N <br /> Address License# I � <br /> OTHER � � COMPANY � <br /> SIGNATURE ftEGISTERED Y/ N FEECURRE� Y/N <br /> Address �icense# � � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111i <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;{1)sat oi Energy Fortns;R-p-W Permit far new construcUon, <br /> Minimum ten(10)warking days after submitta(date. i2equired onsite,Constructton Plans,Stormwater Plans wl8itt Fence installed, <br /> Sanikary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attech(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Permit for new construction. <br /> Minimum ten(10}working days afrer sutrmittat date. Required onsite,Construciion Plans,Sfotmwater Plans wl Sift Fence instailed, <br /> Sanitary�acitikies 81 dumpstec Site Work Permit far aI!new projecfs.AII comrneroiat requiremeMs must meet camptiance <br /> SIGN PERMI7 Attach(2)sets of Engineered Plans. <br /> ..««PROPERI'Y SURVEY required for all NEW construction. <br /> . . . . . ._. . . . . . . . . . . . . . . . . . . . . ... . . . . . . . ... . . <br /> Diroctions: <br /> Fill out application completely. <br /> Owner&Contractar sign back of application,notadzed <br /> 1f over 52500,a Notice of Commencement Is requlred. (RJC upgrades over 575�0) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with no#arized lelter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (copy of contract required) <br /> Rsroofs If shi�g[es Sewers Service Upgradss A/G Fences(PIoVSurveylFaotage} , <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> V <br />