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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department s <br /> Date Received o2 s <br /> �� / Phone Contact for Permitting <br /> Owner's Name �l�fl`? / // �Z c-O Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple1itleholderAddress <br /> JOB ADDRESS 3 J LOT# <br /> SUBDIVISION �— PARCEL ID#Fy C�O,/Q d Q <br /> (OBTAINED FROM PROPERTYTAXNOTICE) ' <br /> WORK PROPOSED R <br /> NEW CONSTR 8 ADD/ALT SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSER USE Q SFR Q COMM E OTHER I 4Y V <br /> TYPE OF CONSTRUCTION [�.� BLOCK 0 FRAME STEEL 0 <br /> 4 <br /> DESCRIPTION OF WORK <br /> i; <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION' <br /> =E'LECTRICAL AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. <br /> =1?LUMBING $ <br /> MECHANICAL $ '�j ..� /j VALUATION OF MECHANICAL INSTALLATION ,G <br /> 7 <br /> =GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> t <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURREA <br /> Address License# �— <br /> i - <br /> ELECTRICIAN COMPANY <br /> 'SIGNATURE REGISTERED Y'/ N I FEE CURREN Y/N <br /> i <br /> Address License# <br /> PLUMBER,: ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CU2REN <br /> Address License �. <br /> MECHANICAL COMPANY C <br /> —91 <br /> SIGNATURE. . ' -J% REGISTERED Y N FEE CURREt+ Y/ <br /> Address; _ License# Tr O�.J7 <br /> OTHER-:;••' COMPANY <br /> -SIGNATURE -;REGISTERED Y/ N FEE CU(RR�EN Y/N <br /> Address License# <br /> ets.of Building Plans;(1)set of Energy Forms;R=O-W I?ermit for,new..constnactiori <br /> RESIDENTIAL Attach.(2)�PIot,Pjans;(2)s <br /> ;,. <br /> Miriirrium,te'ri{10)`woikiho.days after submittafdat& Required onsite,Construction Plans;Stormwater Plan§.w%Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionstlarge 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 ail 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 /> 'Owndr,&°Contractor sigm back of application,notarized <br /> Mover$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> ** —the contractor),or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> ''OVEWTHE;CO.UNTER PERMITTING (copy of contract.required). <br /> Reroofs.if shingles Sewers Service Upgrades AlC Fences-(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />