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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 Perm - <br /> Owner's Name Owner Phone Number <br /> Owners Address F_ Owner Phone Number <br /> Fee Simple Tltleholderftme- Owner Phone Number <br /> Fee Simple Titleholder'Address <br /> JOB ADDRESS LOT 0 <br /> SUBDIVISION <br /> PARCEL IDOPH-a to -a I - 0 1 0c)-=C) - Cqat) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW-CONSTR ADD/ALT SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED:USE Q SFR Q COMM- OTHER <br /> BLOCK 'F"�J FRAME STEEL <br /> TYPE OF CONSTRUCTION <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE L So FOOTAGE=.. HEIGHT <br /> W44M444444444 <br /> "BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL; AMP SERVICE <br /> PROGRESS W.R.E.C. <br /> PLUMBING <br /> I' MCI,CO 1. <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ]GAS <br /> I0 ROOFING SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY _7 <br /> SIGNATURE REGISTERED L.X_f LNJ FEE CURREN L_Y=N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREN <br /> Address License#.F <br /> PLUMBER COMPANY -on <br /> SIGNATURE REGISTERED Y/ N FEE CURREN I V N <br /> Address <br /> License-#' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED 1 .YJ N FEE CURREN L_Y.LN <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE i REGISTERED FEE CURREN <br /> Address License#F_ <br /> RESIDENTIAL- Attach(2)Plot Plans;(2)sets of Buildingplafis; R-O-W-Piarmitfor new construction_ <br /> --donsite,Con§Wcg6ii-Plans;Storrnwate r 01ahs w/Slit Fence Installed, <br /> Minimum ten-(1q)wqdOng-days after.submIttaI'dat6..Require " <br /> Sanitary Facilifles.&.1;dumpster,,-.Site Work Peffnitfor subdivisionsfiarge:pmjects <br /> COMMERCIAL Attach(3)complete'sel.�Df Bull 6 Plans plus a Life Safety Page;,(1)set of Energy, Forms.R-O-W I Permit for now construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,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 Attach(2)sets ofEngifieere'd'Plans.- <br /> ...*PROPERTY SURVEY required for all NEW construction. <br /> 4xRZ4TxP I .. I .- .— . " <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2300.a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING -,-(Front of Application Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over.Counter If on public roadways..'n6eds ROW <br />