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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting <br /> ........... ....t*rrrrrTm 1......a <br /> Owner's Name <br /> �_Pn n Owner Phone: umber <br /> L <br /> Owner's A4dressL-R5 �) PN6 Owner Phone'NI bar N <br /> Fee Simple Titleholder Name F Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED-FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTIR 8 ADD/ALT SIGN DEMOLISH <br /> INSTALL' REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME Q STEEL <br /> DESCRIPTION OF WORK 7S� 4- Ft- &�©eW <br /> BUILDINGISIZE SO FOOTAGE HEIGHT <br /> BUILDING <br /> VALUATION OF TOTAL CONSTRUCTION, <br /> =tLE&RICAL $ AMP SERVICE = PROGRESS ENERGY W. <br /> 7- <br /> • <br /> =kUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =OAS Q ROOFING SPECIALTY OTHER <br /> - <br /> FINISHEDIFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> ......... . ................. ....... <br /> ......... ...... .......... ........ <br /> COMPANY OMPANY <br /> SIGNATURE REGISTERED FEE CURREN Y/N <br /> Address License <br /> ELECTRICIAN COMPANY <br /> SIGNATURE, REGISTERED Y/ N FEE CURREN _LXLN J <br /> License# <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N-i FEE CURREN L_YL/N <br /> Address hie Lice <br /> ,,. <br /> MECHANICAL COMPANY <br /> SIGNATURE.- REGISTERED Y/ N FEE CURREN <br /> Add r',ess License* F <br /> OTHE COMPANY, <br /> .�IR,�il. I• <br /> SIGNATURE REGISTERED Y/'N FEE CURREN <br /> Address ;F7 License# <br /> .................. . ... ..... <br /> ... ........... <br /> i ' 7,' '' I - ., . 1. 1 <br /> RESIDENTIAL` ��c� �. Ibt:P 6rts;( :)'-setg of,Bdilding'Planii(Il)"set*bftnerdy Fort -W:Permit for new:construcflon, <br /> Fi"brTilftaiFdate�',ReOlre <br /> Mini ' wo d onsite.Construction Plans;Stormwater Plansw/Slit Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsfiarge 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.'Rdquiredlonsite,Construction Plans,Stormwater Plans w/Slit Fence installed,-, <br /> Sanitary Facillfiei-&1 dUrfiostir.Site Work Permit for all new projects.All commercial requirament I s must meet compliance <br /> ' SIGN PERMIT Attach-(?)sets of Engineered,Plans. <br /> """PROPERTY, SURVEY re'q uired fbr`all NEW Construction. <br /> t=66tlon�s <br /> Fill out application completely. <br /> OWner�,&,Con-tractor sign,back of application,notarized <br /> If over$2500,a Notice of CbMKiridernerit ls,required.' (A/C upgrades over$7500) <br /> Agent.(fbr the-contractdr)or Power of Attorney(for.theowner)woul&be someone with notarized letter from bwner.authorizing same <br /> OVER171-11E.COUNTERPERMiTtilSiG .(copy of,contract required) <br /> Reroofs,if shingles- -- -Sewers ...Service:Up nid#4 AtC Fences(PloitSur ey/Footag a) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />