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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received•rrrrrrr= Phone Contact.for Permlttin $� ��^ ���� <br /> l� » _ <br /> Owner's Name V\k� Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> ! e - <br /> Fee SimpleTitleholder Name Owner Phone Number' <br /> Fee SlmplelTltlehoider Address <br /> JOB ADDRESS LOT# lJ <br /> SUBDIVISION PARCEL ID#. <br /> (OBTAINED FROM PROPERTY.TAX NOTICE), <br /> WORK PROPOSED NEW-CONSTR ADDIALT SIGN = DEMOLISH <br /> R INSTALL B 'REPAIR <br /> PROPOSED USE _ SFR = -COMM OTHER <br /> TYPE`OF CONSTRUCTION 0 BLOCK 0 'FRAME = STEEL <br /> DESCRIPTION OF WORK 1 I-c r\C e <br /> BUILDING SIZE SQ FOOTAGE .HEIGHT:• <br /> =BUILDING $ Qp VALUATION'ORTOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> r <br /> PLUMBING. $ ` <br /> 417 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =PAS 0 ROOFING. Q SPECIALTY. = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> :BUILDER / COMPANY ewe-Q�n£' <br /> SIGNATURE G REGISTERED Y'/ N FEE CURR.h Y/N <br /> Address License# <br /> `'ELEC.TRIC1, COMPANY <br /> SIGNATURE REGISTERED Y/ N • fEE�CURREN <br /> Address - License <br /> PLUMBER'„• C MPANY ..; <br /> SIGNATURE REGISTERED Y./`N: FEE CURRB Y/N <br /> Address License#„ <br /> '.MECHANICAL` COMPANY., <br /> "" SIGNATURE` REGISTERED Y/ N . FEE CURREN <br /> Address'.:':• - .License.# <br /> OTHER-;::,-::. ,;:;. :. COMPANY . <br /> REGISTERED Y/.N FEE CURREN Y/N <br /> Address.: :cE License# <br /> -RESIDENTIALt°:;;;^;Attach:;"2'PlotiP,laris F(2 sets of BuiPlans'-1 set"of Ene` ` Forms R-Q=1N:P.ermit:for n.-,- <br /> (ding, nstrucGon <br /> .. :.r - , ..�. ,. <br /> a,, I:Minimum,ten(,1Q)zvyorkiny?:daysafteesutimjtfialdate. Required orisite;Coristruction'Plans,Stormwater Plans wG Silt Fence installed; <br /> r `� Sanitary,Fac111tes;&>>1:dumpster;,Site Work:Permitforsubdivisionsllarge piqjests.`:: <br /> _';:COMMERCIAL Attach(2)complete sets of ButliJirig`Plans'plus'a Life'Si fery Page;(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,Stormwater Plans w/Silt Fence.installed, <br /> =:•`. Sanitary Facilities&1 dumpster.,Site Work Permit fbf:,Al-new .ojects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attab}i`(2)"sets;of Engine red f?IarissK- <br /> "."PROPERTY SURVEY required_for-all,NEW construction.. <br /> Directions: <br /> " .'Flll:out;application completely. <br /> 'O,wner,&'Contractor sigmback.of application,notarized <br /> -if over,$2500;a NbUdwof:Commencement Is required. (NC upgrades over$7500) <br /> Agent-(I'or'the"�contractot)°or°Power-:of•Attomey:(for`the owner)would'lie.someone with notarized,letter from owner authorizing same <br /> OVER;THE COUNTER':PERM(TTIN,G `,_:. ..(copy.of;contract:required), <br /> -if-' fingles Sewers .Service.Upgrades A/C`- Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public ioadways::needs''ROW . <br />