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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Pertnitting I �0�-- � <br /> � 1 1 1 1 � � 1 1 1 1 1 1 <br /> e« r �� �Y� _ � ..� <br /> Owner's Name Owner Phone Number <br /> ( <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> / �� <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> i WORK PROPOSED B WSTALLSTR e R�EPAIR � SIGN 0 � DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME .0 STEEL Q <br /> DESCRIPTION OF WORK � •J � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA �YES NO <br /> I BUILDER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL ` ` COMPANY SI.L �L.i� L � <br /> SIGNATURE REGISTERED N FEECURRE� N <br /> Address License# C� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 tllllllllllllllllllllllllllllllllltllllllllllllllllllllllllll <br /> RESIDENTIAL ' Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sil[Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submit[al date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 81 dumpster Siie Work Pertnit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> if over$2500,a Notice of Commencement is required. (A1C upgrades over$7500) <br /> " Agent(for the conlractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING co tra quired) <br /> Reroofs if shingles Sewers Servi pgrades A!C Fences(PIoUSurvey/Footage) P�L.`����L�—� /����� �� ��— <br /> Driveways-Not over Counter if on public roadways..needs ROW /r�LS rb-f y c( a��� <br /> ,•;�►':Y-'"�a4;, E2tTA I UL�IIdA^� <br /> `'��,` MY COMMISSION#GG002642 <br /> '?�o•v`d�� EXPIRES June�15,2020 <br /> {407)398-0163 FIOIWBNOtYfyBU1vIW,00fl1 <br />