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813-780.0020 City of Zephyrhills Permit Application I Fax-813a80-OD21 <br /> Building Department <br /> Data Received I Phone Contact for Permitting <br /> -r r rrrr-r r :�ar,exiz-r T- . I-r <br /> Owner's Name r; Owner Phone Number <br /> Owner"*Address Owner Phone Number <br /> Fee Simple Titleholder Name C Owner Phone Number <br /> i <br /> i <br /> Fee Simple Titleholder Address j <br /> JOB ADDRESS j LOT# <br /> SUBDIVISION n PARCEL IDN <br /> (OSTAlNEO FROM PROPERTY TAX NOTIOE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDIALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SiZE 1 SQ FOOTAGE HEIGHT ,sq <br /> [�BUILOING VALUATION OF TOTAL CONSTRUCTION jW <br /> QELECTRICAL t AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> C]PLUMBiNO $$, ox-- kL '-- <br /> QMECHANICAL $ _ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS 0 ROOFING Q SPECIALTY n OTHER j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YIN I FEE CURME <br /> Address ucense a[ i <br /> ELECTRICIAN I COMPANY <br /> SIGNATURE REGISTERED I YIN I FEECLIR'REn LI N <br /> Address License#1 <br /> PLUMBER C� /r� � COMPANY 4z li CK <br /> SIGNATURE <br /> c, � REGISTERED Y N FEe cuRREn�-+ Y/N <br /> Address co4 k"a r r r,% b Ucense# �'�C 1LJ�;- �Cs� <br /> MECHANICAL COMPANY I <br /> SIGNATURE F REGISTERED I Y/ N FEECURREA <br /> Address License#�— 1 <br /> I � <br /> OTHER COMPANY j <br /> SIGNATURE REGISTERED I Y/ N FEE CURREn LILN J <br /> . <br /> Address License I ! <br /> IlitillllttlllllltllilltlllliEiilitl � tl<>ftM � iii1IIIiItitIIllitiltttlillllMl �i <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,Slornwater Plans w/Slit Fence installed, <br /> Sarifty Facilldes&1 dumpster,Site Work Permit for subdiv)slonallarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fonns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stomtwater Plans w/Sit Fence Installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for an new projects.All commercial requirements must most compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. (, <br /> *"'PROPERTY SURVEY required for all NEW construction. <br /> 41roWons: I <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2E00,a Node of Commencement to required. (A/C uPBrodoo over$7000) <br /> '* Agent(for the contractor)or Power of Attorney(for the owner)would be scineons with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Retude if shingles Sears Service Upgrade* A/C Fences(PIoUSurvey/Footage) <br /> Drivaways-Not over Counter if on public roadways..needs ROW <br />