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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 1 Phone>ContactforPerniittln <br /> Owner's Name (11 1 ` t Z 6 W` e iG t•5 Owner Phone Number <br /> Owner's Address 3 ���`� Z d ` �( :Owner PhonwNumber • <br /> Fee Simple(Titleholder Name 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 CONSTR ADDIALT' [ SIGN` �. 0 DEMOLISH <br /> i <br /> e. INSTALL 8 REPAIR <br /> PROPOSEDUSE Q SFR 'COMM OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK " : FRAME :�_]' '.:STEEL 'Q. -71 <br /> DESCRIPTION OF WORK "� C T ✓�=' <br /> BUILDING SIZE SQ,FOOTAGE ,HEIGMT._. � P, <br /> =BUlLDING $ VALUATIONrOFTOTAL CONSTRUCT{ON ` <br /> =ELECTRICAL � � AMP SERVICE Q PROGRESS ENERGY Q. W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ VALUATION OF,MECHANICAL INSTALLATION <br /> =GAS 0 ROOFING :0 SPECIALTY_ OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ ]YES. N.O <br /> BUILDER COMPANY <br /> SIGNATUR REGISTERED <br /> FEE CURREN <br /> Address License#`` <br /> ELECTRICIAN: _ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE'CUkkE ','! <br /> Address - License-# { <br /> PLUMBER '= COMPANY <br /> SIGNATURE' REGISTERED.; Y/•N,' ;,:-..;FEE CURREK Y/N <br /> t <br /> Address License,# � :. <br /> MECHANICAL. .. COfdP ,ANY <br /> SIGNATURE REcisrEREo,, Y./ N. . -_:; FEECURREI%z Y/N•. .. <br /> Address;';_ :� Ucense# <br /> OTHER ;COMPANY <br /> SIGNATURE. REGISTERED Y/ N 4„.., .,FEE CURRE)\ <br /> ., <br /> Address P . ,.:.. _••. .•_. ' .. License#;l � <br /> RESIDENTIAL',;•,.Attach`{2},P-...lofti?laris;{2}sets;ofiBullding3'Plans;{:1)'se#of'Energy>farms;R-O=W Peririitfor oew constnacticri, <br /> IMlinlmum ten°(>1.0),workingdays;after;`subinittal datea;Requl�ed onsife,Constniction Rians;Stormwate�`Pians w/Sitf Fence installed, <br /> " • Sanitary Facllltiest&s,1.�,dumpster,Site�Work,Permit forsubdivislons/largeproject's;;._�:':.r;' _ <br /> COMMERCIAL Attach{3166mplate sets i -Building Plans plus a,Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new,projeots:All commercial requirements.must meet compliance <br /> SIGN PERMIT Attadf(2)sets of"Engiiieered;Plans.;,.::_ ;= <br /> "'"PROPERTY SURVEY required for all,NEW <br /> ,ganstruction.,. <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 contraator)'or'Power of Attorney(fog file owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER.PERMITTING... ...,-{Front-of�Applicaton-Only} <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways'..need§ROW <br />