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813-780-0020 City-of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting <br /> ...... ............ ... .............rTlrrrrrr U;E33=03=......... <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simpli1itleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR 0 COMM OTHER <br /> TYPE OF CONSTRUCTION Qt BLOCK FRAME STEEL <br /> 'h DESCRIP .ON OF WORK A"(BLOCK <br /> AW9!E!E y <br /> BUtLDINGzSIZE SO FOOTAGE= HEIGHT <br /> 1 1 2 a 1 <br /> =BUILDING 1$ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVICE /dd F__1 PROGRESS ENERGY W.R.E.C. <br /> 500 <br /> 14 e- <br /> =PLUMBING $ <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION, <br /> GAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> +11 "+.H I I I I i I I I I I I I I I H i 111 2 1111 1.11 H 1+1�1 H 111 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN__j <br /> Address License#, <br /> •ELECTRICIAN r COMPANY `4, <br /> SIGNATURE 'REGISTERED, Y:/,N '' FEE CURREN. Y/N <br /> Addrei as License# <br /> PLUMBER, COMPANY <br /> SIGNATURE REGISTERED 1:-Y N' FEECUAREK LILN J <br /> Address License#' F_+ <br /> MECHANICAL. COMPANY°" <br /> SIGNATURE: REGISTERED Y/ N FEE CURREN <br /> Add License# I <br /> Address.OTHER._..:__ COMPANY <br /> -SIGNATURE REGISTERED . Y/ N ,FEE CURREN <br /> Address License# <br /> ................ <br /> ....... I il it I HHH!+I.v N!@H I a 2 H!HIfl I�H'I I kl�l I I I ILI I I I I f 111.1"111 il 1111 i 1111 <br /> -YA115StDENTIAL Altach,(2),PI4 Plars;:(2)aits_6i Building Plans;.(I.).set of Energy Forms;R� .7W r Permit f6i new'.construcbon, <br /> Ml'n�linumt6n''(10)"w"orkl'n'g'"d-a'y's"eiftir s'tibr�itt'al"da'te; Requ'lred-onsil:6,Consitructldn.Plans;. .Stormwater'Plans w/Slit Fence installed, <br /> Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsfiarge 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 /> Mlnimum'ten(10).working days after submittal date.,Required onsite,Construction Plans,,ftrmwater Plans w/Slit Fence Installed, <br /> Sanitary.Facilifies&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Att6ch(2)iets-of-,Engineered-I?Ians.- - <br /> ****PROPERTY,SURVEY required for all NEW construction. <br /> .................. <br /> Dicectto <br /> ns: <br /> Fill'out application completely. <br /> Owner&C6ritractorsion back of application,-notarized <br /> if $2500,a Notice of.Commencement Is required. (A/C upgrades over$7500) <br /> Agent'ffor'the contractor),or.Power of Attorney(for the owner)would be someone <br /> eone with notarized letter from owner authorizing same <br /> OVEWTHE,-.COUNTER PERMIT—TING (copy of contract required) <br /> Rei8ibft if shingles Sewers Service'U0§rades A/C ' Fences(PlottSuivey/Footage) <br /> Driveways-Not over Countei;f`6N�p66tf6rbadW*..neidi RO' <br /> YV <br /> ol <br />