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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Recei'Ved <br /> rrrrrrrT... J.L...... ......... Phone Contact for Permitting <br /> .......rTnnlmrrrrrr7 ................................. <br /> Owner's Na�Te ff(�OV, Owner Phone Number <br /> Owner's Address bJ_ Owner Phone Number <br /> Fee Simpte7itleholder Name Owner Phone Number <br /> Fee SimpWiTitteholder Address <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL to# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT 'SIGN DEMOLISH <br /> R <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK FRAME . STEEL <br /> DESCRIPTION OF WORK <br /> i /Z_ <br /> BUILDING!,SIZE SQ FOOTAGE= HEIGHT <br /> I Lt........L <br /> BUILDING <br /> i <br /> VALUATION OF TOTAL CONSTRUCTION" <br /> =ELECTRICAL AMP SERVICE = PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =9AS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED'FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/*N FEE CURREN <br /> Address License# F <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN <br /> Address- License#T <br /> PLUMBER, 'COMPANY <br /> SIGNATURE REGISTERED i Y.VN?­1 FEE CURREN <br /> Address License#'F <br /> MECHANICAL COMPANY <br /> N <br /> SIGNATURE REGISTERED YJ N FEE,CURREh <br /> Address Licensei <br /> -OTHEW,; COMPANY <br /> - <br /> 'SIGNATURE 7�X (11------ REGISTERED YIN FEE CURREN I Y/N <br /> 'Add �0_ t v x ow. 0-1 ��, -License# <br /> 11 fit <br /> ---'RESIDENTIAL Attach(2)Pk'Plan Building Plans;'�(I),set,o Ener <br /> gy rgy Forms;RJ. <br /> 0 <br /> W Permit fdr,66w.construction;.. <br /> ng on site,Con' ru' ' ' t'Plans wtSllt Fence installed, <br /> Minimum I working days after submittaldatew-Req'6fr6d Si st ci on Plans;StormWata <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisio'nsAarge 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(.1,0).vorking,days,after submittal date.,Required orisite,Construction Plans,.Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attsich(2)sks-of.Engifieerid Plans. <br /> PROPERTY_-,SURVEY required for all NEW construction. <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor-sign-,back of,application,-notarized -If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> Agent,(for the contrdctor)�or Power-of Attorney(for theowner)would be someone With notarized letter from owner authorizing same <br /> OVER 1HE,shingles COUNTER PERMITTING (copy of contract.required) <br /> Rerdbfs if Sewers Servicd,Upgrades A/C , Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />