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' =s <br /> 813-780-0020 -City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department Date Received 3����(��,$ Phone Contact for PermittingZ —oq-Z(3 <br /> ZTt Owner's Name �—� e ��� Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Foe Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> uM <br /> JOB ADDRESS r� G re V�l r. 1 -#5 LGT-# <br /> SUBDIVISION PARCEL ID# Da ,aili-ODli0^ -DO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED - e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE RM SFR = COMM = OTHER <br /> TYPE OF CONSTRUCTION BLOCK = FRAME i= STEEL <br /> n = <br /> DESCRIPTION OF WORK CAS 1 e{� <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL S AMP SERVICE = PROGRESS ENERGY = W,R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE �pp1 REGISTERED / N FEECURR N <br /> Address (5 cicoi License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE F REGISTERED Y/ N FEE CURREK Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREK Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIi1111111111111111111111111111i11111111111 <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/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster,Site Work 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PiottSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />