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813-760-0020 City of Zephyrhills Permit Application Fax-813.780.0021 <br /> Building Department { <br /> Date Rocelved Phone Contactfor Persliltina <br /> 1 1""f'1"1-1'1'1 T/ <br /> Owner's Name 0, f Owner Phone Number <br /> Owners Address Owner Phone Number r <br /> Fea Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> dOt3ADD E ;L TO <br /> SUBDIVISION r PARCEL lD:y <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE SFR Q Comm W OTHER <br /> TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL [] = <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE ��SO FOOTAGE HEIGHT <br /> ©BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R•E.C. <br /> C21PLUMBING $ C)6. <br /> =MECHANICAL 9 VALUATION OF MECHANICAL INSTALLATION / <br /> =GAS = ROOFING = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I YIN I PEE CURREP <br /> Address License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEE CORM Y!N <br /> Address License el <br /> n <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> / r <br /> SIGNATURE �t C�^^ • REG19T2RED Y N FEE cu(RREnC�'� i�lNe�1 <br /> Address l�• C� y-'t 10 Ucense# t�-'t<"C _ <br /> MECHANICAL r COMPANY <br /> SIGNATURE 'REGISTERED I Y/ N :FEE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N FEECURRET Y!N <br /> Address License 0777 <br /> IIIII111111111111IsI III I11111111I11111I11111111111111111111If1111111 <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,Stormwater Plans w/SOI Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Psrmil for subdiliWonsnaige projects <br /> COMMERCIAL Attach(2)Oomplate sets of Building Plans plus a Life Safety Page,(17 set of Energy Forms.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal data. Required owlte,Construction Plans,SlOmtwater plans w/SIR Fence installed, <br /> Sanllery Facilities&i 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$7600) <br /> Agent(tor the contractor)or Power of Attorney(for the Owner)would be Someone with notarized letter from owner authorizing some <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Rwaofs if shbrgies Servers 'Service Upgrades A!C Fences(Piat/Surv41Footag9) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />