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813-780-0020 City of Zephyrhills Permit Application Fax-813-7e0-0021 <br /> Buiding Department <br /> Date Received ` <br /> Phone contactfor Permittingg — <br /> 'T T_T T T.T i""T" - T'Y'T.7 <br /> Owners Name"' ,r Owner Phone Number ('� <br /> Owners Address ( On rd Owner Phone Number <br /> Fee Simple Titleholder Name, Owner phone Number <br /> Fee Simple Titleholder Address <br /> 11 JOB ADDRESS LOT# " <br /> SUBDIVISION. PARCEL tD# <br /> (OBTAWEO FROM PROPERrYTAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDIALT = SIGN = = DEMOLISH <br /> e - ' INSTALL REPAIR <br /> PROPOSED USE 0 SFR _ 'COMM OTHER <br /> TYPE OF CONSTRUCTION" "= BLOCK _: FRAME STEEL = <br /> DESCRIPTION OF WORK• r Q 'e <br /> BUILDING SIZE SO FOOTAGE HEIGHT <br /> =BUILDING VALUATION OF TOTAL CONSTRUCTION <br /> JZIELECTRICAL $ jj . NJ AMP SERVICE- Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING S <br /> =MECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 'Q SPECIALTY= OTHER <br /> FINISHED FLOOR ELEVATIONS. FLOOD ZONEAREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/N FEE CURREN 'Y/N ` <br /> Address License# <br /> ELECTRICIAN COMPANY tCeItL Q.�. <br /> SIGNATURE REGISTERED N I <br /> V FEE CURREr, I Y I N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREI, YIN <br /> Address License# " <br /> MECHANICAL;, COMPANY <br /> SIGNATURE REGISTERED I YIN FEE CURREr. Y/N <br /> Address License# <br /> OTHER COMPANY. <br /> SIGNATURE• REGISTERED I Y/N FEE CURREN <br /> Address License# <br /> 11 ('i11.1lirhJeL.1If=1tfl,r.f IIII ilvill.111,46ifli.t111 fill 11111.11111Itflli1 <br /> 'RESIDENTIAL,' Attach 12X Plot Plans;(2fsets of Building Plans;(1)set of Energy Forms;R70-W Permit for new construction, , <br /> Minimum ten(10)vroddng days after submittal date. Required,onshe,Construction Plans,Storrnwater Plans w/Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsffarge 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(10)working days after,submittal date. Required onsile,Construction Plans,Stormwaler Plans w/Silt Fence Installed, <br /> Sanitary'Facilities&1 durnpstdr.bite Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for a0 NEW construction. <br /> Drrectfons: <br /> FRI 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 Power of Attorney(for the owner)would hue someone with notarized letter from owner authorizing same <br /> bVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) <br /> Drlveways=No[over Counter if on public roadways..needs ROW <br /> I <br />