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813-780-0020 City of Zephyrhills Permit Application FeX-s�a-�ao-ooz� <br /> Building Department <br /> Date Reeeived phone Contact for Permlriln <br /> Owner's Name h � Owner Phone Number ��3'7.� -2 .Z <br /> Owners Address .3 V Owner Phone Number ��3� GZ� ��O 7�' � <br /> Fee Simpte Titleholder Name Owner Phone Number , <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS /� � V , LOT# � � <br /> SUBDIVISION PARCEL ID# �.�(r -•l - � <br /> (OBTAINED FfiOM PROPERTY TAX NOTICE) I <br /> WORK PROPOSED NEW CONS7R ADD/ALT Q SIGN Q Q DEMOLISH <br /> B INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER ' <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q ! <br /> DESCWPTION OF WORK �') Z F� . tJ �H� AIEtJ �^rp�f �� . (JNI I <br /> BUILDING SI2E SQ FOOTAGE C.� HEIOHT C� � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ' <br /> '- �� � <br /> OPLUMBING $ �v I <br /> �MECHANICAL $ � Da VALUATION OF MECHANICAL INSTALLATION l� i <br /> . � i <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas Llcense# � I <br /> i <br /> ELECTW CIAN COMPANY —� <br /> SIGNATURE REGISTERED Y/ N F�curta�n Y!N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGI9TERED Y( N FEE CURRE� Y/N <br /> Address License# <br /> � I <br /> MECHANICAL T COMPANY $,fQ�IATFS <br /> SIGNATURE Z REGISTERED Y/ N FEE CURREp Y/N � <br /> Addresa 7 �/ � License# �—� I <br /> � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N � <br /> � <br /> Addreas Llcense# <br /> Illlllllllllllllllllllllllllllllllllllllllllllllllllillllllllllllll i <br /> RESIDENTIAL Attech(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWctian, � � <br /> Mlnimum ten(10)working days after submfttel date. Requlred onsite,ConsWoGon Plens,Stormwater Plans w/Silt Fence Installed, i <br /> Sanitary Facllltles&1 dumpster,Site Work Permit for subdivlsionsflerge proJeots I <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Farms.R-O-W Permit for new construcUon. � <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitery Facilitles 8 1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance � <br /> SIGN PERMIT Attech(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> Dlrectlona:• <br /> FIII out applicatlon completely. <br /> Owner 8 Contractor sign back of applicaUon,notarized <br /> If over 52500,a Notice of Commencement Is requlred (AIC upgradea over=7500) <br /> •• Age�l(for the conVactor)or Power of Attomey(far the ovmer)would be someone with nota�lzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) ' <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />