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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department °> <br /> Date Received <br /> • • Phone,Contactforftrmittin <br /> Owner's Name (,LY�Q{i Owner Phone Number `l �'�J 7 <br /> Owner's Address r Owner Phone-Numb'or17 <br /> Fee Simple Titleholder Name" Owner Phone Number — <br /> z ' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION �uyt? U l lI aS PARCEL ID# W� <br /> (OBTAINED FROM.PROPERTYTAX NOTICE) <br /> WORK PROPOSED: NEW CONSTR ADD/ALT %' SIGN` •'_' ;. = DEMOLISH <br /> �. INSTALL ='. ,. REPAIR <br /> PROPOSE®..USE = SFR = COMM <br /> TYPE OF CONSTRUCTION =' BLOCK FRAME STEEL ._ ^ <br /> DESCRIPTION OF WORK-,. <br /> BUILDING SIZE• I sQ FOOTAGE "• ..:HEIGHT - <br /> BUILDING $ VA TION:`OF`TOTAL-CONSTRUCTION } <br /> =ELECTRICAL $ AMP SERVICE = PROGRESS'ENERGY [� W.R.E.C. <br /> =PLUMBING,.. $ <br /> - <br /> =MECHANICAL $ VALUATION OF;MECHANICAL INSTALLATION. <br /> =GAS = ROOFING ;_- . SPECIALTY,:,C] -,,OTHER, <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AR =YES. NO <br /> BUILDER.. --- • .- -_ - -SIGNATURE <br /> L� <br /> REGISTERED / N FEE CURREN' Y <br /> Address L'Icense#' <br /> ELECTRICIIN: -COMPANY' <br /> SIGNATURE REGISTERED Y/ N FEE CURREn ' <br /> Address License# <br /> PLUMBER , COMPANY <br /> SIGNATURE' . . <br /> ;. REGISTERED: ::._, ,- ""X VN, ,:- -.FEE:CURREN; Y,"/ <br /> Address ;License.#` <br /> i <br /> MECHANICAL: - Y <br /> COAAPANY <br /> SIGNATURE .. <br /> REGISTERED.,: Y,/.N..:':. . FEE CURREh; Y/;N" <br /> Address,;; _ License#. <br /> OTHER . <br /> SIGNATURE .. .. <br /> ;COMPANY` ry <br /> 'REGISTERED Y/ N FEE CURREN <br /> Address License# <br /> RESIDENTIAL,; -Attach?(2),Plot%Pla1rW(2)sets of`tiuil'ding Rlans (1)`sef of Energy Forms;R=0=V1/°'Pertrilt for new°construction, <br /> Minimumyten°_(:1.0),working;days;aftersubmittal-date::Requir"ed onsitbj Constrt ctidh P-Ians,Stormwater'Planslw%Silt <br /> 'Fence installed, <br /> Sanitary Facilities-,&;1,::dumpster,_;,Site,Work:P,,ermit;for;subdivisions/large pro1ecfs_' <br /> COMMERCIAL Attach(3)•complete sets of Buildlog Plans plus a Life SafetyPage;�(1)set of Energy Forms.R-O-W Permit for neW cansttrruction..i <br /> Minimum ten(10)working days'after submittal date. Required onsite,Construction Plans,Stormwater Plans.w/Silt Fenoe Installed, <br /> Sanitary Facilities&"1 dumpster.Site Work Permit for all newaprojects:All commercial requirements.must meeYcompliance• 5 <br /> SIGN PERMIT Attach"(21"sets of-Eriginee[edPlans::,• <br /> ****PROPERTY SURVEY regulred for all NE 1N 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$7500) <br /> Agent(for the contractor)'or'PoWdr,of Attorhiy'(for the owner)"would be someone with notarized letter from owner authorizing same V,�y <br /> OVER THE COUNTER.PERMITTING-. --. •(Front of Application-Only) {-- <br /> Reroofs if'shingles Sewars Service,Upgrades A/C Fences(Plot/Survey/Footage) f <br /> Driveways-Not over Gunter.[Con•pubI1c_roadways..needi ROW` -- ='_'.;•"{ <br />