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813-780.0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Data Received Phone Contact for Psrmtttil (; <br /> Owner's Name n Owner Phone Number --1i <br /> Owner's Address t7 7�tCfJ 'O ��73 . 33AZ Owner Phone Number F I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> 4 <br /> JOB ADDRESS i h 1 5 LOT N <br /> SUBDIVISION PARCEL ID# <br /> -' (OBTAINEb FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN = Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM lJ OTHER <br /> TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> TIC'T'PT'IT'�rR'f'7"rrl'�r'T"Tf rTTr'P7�tT1'1T <br /> =BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> C. <br /> =PLUMBING $ <br /> MECHANICAL $ �� VALUATION OF MECHANICAL INSTALLATION �y <br /> TTjj !/ <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO <br /> -i•.i.i-i+.t-iF..i-i.i-i�i-bi..i-{..�'�:•�1-�t•.t-d.L-i�t-4i+F-i-B-L-i-F-1-F-t-d-I-i-t•-1-F-to-�1-'.�.t�.t-Fi-4�1.1-4.1-4�F�S�i-t..�'-3.. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN FEE CUflREf, <br /> Address License# ^� <br /> ELECTRICIAN. COMPANY <br /> SIGNATURE AEaisrEAED I Y i N FEE CURREr. Y/N <br /> Address License# <br /> PLUMBER COMPANY. <br /> SIGNATURE REGISTERED YIN FEE CURREt Y/N. <br /> Address •License# F— -� <br /> MECHANICAL COMPANY !Tj t!�`r�L''°� �.a`t//LAS C)T' RX5co , <br /> SIGNATURE PEGISTERED YIN FEE CURREE+An,', i YG/N �/G p <br /> Address , f7 S W. 3 License# NIL I&IS 4[6 <br /> OTHER FCOMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREn"" ` Y/N <br /> Address License# <br /> tlilitiltitttttttI Ill t111t Ill Ill 11111it Ill <br /> lttltlitillllttliilltttit <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,'Slormwater Plans wl Sill Fence Installed, <br /> Sanitary Facilities B 1 dumpster,Site Work Permit for subdlvislonsAarge 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/Slit 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 /> �M1-i.i-F�i�t�.S.t�t�t-3�t.i�i.i.isa.•6.t-i�i.I�t-i.FSw�:�t�C�t�i�.i+i�I�t�wS.r.t-O.�l.i.�i-i.i-.• t,d� <br /> Directions: <br /> Fill out application completely. <br /> Owner S Contractor sign back of application,Doladzed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7600) <br /> Agent(tor 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter If on public roadways..needs ROW <br />