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813-780-0020 City of Zephyrhills Permit Application Fax 813-78o-0021 <br /> Building Department <br /> Date Recalved Phone Contact for Perniittin - 1 <br /> Owner's Name 1��`! 11 iI�LY4ADffl C.s Owner Phone Number <br /> Owner's Address - Owner Phone Number <br /> Fee Simple Titleholder Name, Owner Phone Number �— 1 <br /> Fee Simple Titleholder Address ,f l �p �y, <br /> JOB ADDRESSV �JV W P 1 LOT# �� 1 <br /> /�t 1�V f 4 n l { I <br /> SUBDIVISION � d"-en � PARCEL iD# �a lld' t' b M~ ( O <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED e -.NEW-CONSiR ADD/ALT' C� SiGN Q Q DEMOLISH INSTALL e REPAIR <br /> PROPOSED>USE 0 SFR Q COMM Q OTHER ' <br /> TYPE OF CONSTRUCTION 0 ' BLOCK }"f=� FRAME �] 'STEEL �] <br /> DESCRIPTION OF WORK, r; t ` {ll I� <br /> BUILDING SIZE, SQ FOOTAGE=: HEi�HT.' <br /> QBUILDING � VALUATION OFTOTAL CONSTRUCTION <br /> =ELECTRICAL ($ - AMP SERVICE ® PROGRESS ENERGY W.R.E.C. <br /> ]PLUMBING $ <br /> [_ 4 <br /> ]MECHANICAL 1$ VALUATION OF.MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING Q SPECIALTY. _ OTHER, <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES. NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP <br /> Address License# <br /> ELECTRICIAN':GOIiRPANY` <br /> SIGNATURE REGISTERED Y/ N FEE CURREP ' 'LLIL&J. <br /> Address License#, <br /> PLUMBER COMPANYO <br /> SIGNATURE REGISTERED Y/:.N•. FEE CURREP-: ' Y-/ . <br /> Address License-# �/cJ — <br /> MECHANICAL COMP,AAIY <br /> SIGNATURE REGISTERED.: Y../ N. FEECURREIfi: <br /> Address' - License#- �� <br /> OTHER GQIl4PtAlY <br /> SiGNATt1RE REGISTERED Y/ Wi_' FEE CURRE(\ <br /> Address License# <br /> RESIDENTIAL": Attacfi'(2)zP1ot;Pians.(2)sets'of:Bufliling P.Ian"s;(1}sef of>Energy Forms;_}� W Permit for new constructibn,- ! <br /> iUltnlmumten{10);wroriiing`days aftersubmittal date :Requlrleii orisite Constsitctian Flans;Startrivuatet"Plans wl SiiE Fence installed, <br /> Sanitary Facilites;&.1dumpster Slte Work Permit for subdtvisions/large prrijects , :.;._ . <br /> COMMERCiAL Attach(3)complete sets`of`BiiHding Plans pins a Life Safety Page;(1}set of Energy Forms.R O W Pemtit for newt construe tion.l <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)nets ofEngineered,Plans:. :: <br /> ****PROPERTY SURVEY required for all NEW construction.--------------- <br /> - <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. (AIC upgrades over$7500) <br /> Agent(for the 6ontra6Eor)`or'Powier of Attomey'(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -(Front of-Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter ifon public road <br /> ways:.needs ROW <br />