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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> i Building Department <br /> Date Received -/�'.�� Phone Contact for Permitting. <br /> Owner's Name ! [� V! �. Owner Phone Number / /� Q <br /> Owner's Address (p/ / Owner Phone Number F <br /> Fee Simple'•Titleholder Name Owner"Phone Number <br /> Fee Simpl®'Titleholder Address <br /> JOB ADDRESS LOT# C� <br /> t <br /> SUBDIVISION PARCEL ID# C 26 02 Q /c,y e)0 Q O O <br /> }, ov (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS,TR 8 ADD/ALT SIGN �. Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM d OTHER IJ �+ <br /> TYPE OF CONSTRUCTION Qsg BLOCK 0. FRAME Q STEEL 0 <br /> DESCRIPTION OF WORK ' .5 <br /> BUILDING SIZE SCI FOOTAGE HEIGHT <br /> BUILDING 1$ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRlCAL �� AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> t <br /> QI?LUMBING $ ., <br /> NtECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> On <br /> i <br /> OGAS Q ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FEE CURREN <br /> Address License#' I <br /> i. <br /> -ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED Y'/ N FEE CURREA LILN <br /> Address• License# I <br /> PLUMBER: COMPANY <br /> SIGNATURE REGISTERED Y/ N'• FEE CURREA' <br /> Address License# I. <br /> F <br /> MECHANICAL COMPANY l Q <br /> SIGNATURE. <br /> . " . 1� REGISTERED Y N FEE CURREA Y N <br /> AddressC13.0 License# I( e Q � <br /> . COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA. <br /> Address License# <br /> z; <br /> ,., _., <br /> ;:.'RESIDENTIAL Attach,•(2)PIot,Plans;,(2)sets:of Building Plans;(1)set of Energy.Forms;R-O-W_Permit for new.,constructlon; <br /> Minimum ten(10)'working days after subrnittai'date.- Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionstiarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life,.Safety.P,age;(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,-StannwaferPlans 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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> 'OVEWTHE:.COUNTER PERMITTING (copy of contract.required) <br /> Reroofs'if shingles Sewers Servic&Upgrades A/C Fences(PlottSurvey/Footage) <br /> Driveways-Not over Counter if on public madways..needs ROW <br />