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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received / � �! g. . f?j 715•-- �i j l Phone Contact for Permitting. <br /> Owner's Name O Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS e-, LOT# <br /> SUBDIVISION PARCEL ID#F/� �Sdd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED R NEW CONSTR H <br /> ADD/ALT = SIGN = = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED:USE = SFR = Comm = OTHER . <br /> TYPE.°OF CONSTRUCTION 0 BLOCK - Q FRAME = STEEL - _ <br /> DESCRIPTION OF WORK it.''• o� e /0,94•r S1? <br /> BUILDING SIZE SQ FOOTAGE -� HEIGHT • a2 y d1i" <br /> =BUILDING $ 9�do VALUATION•OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ / AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ �/�v <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> V <br /> =GAS ROOFING, = SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURREN <br /> Address 'License# <br /> `:ELECTRI,CIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN LILN. <br /> Address` License# <br /> PLUMBER;. . COMPANY <br /> SIGNATURE. REGISTERED Y•/ N_j FEE CURREN ' Y/N <br /> Address License# <br /> MECHANICAL. COMPANY <br /> _' SIGNATURE REGISTERED Y/ N FEE CURREN- Ljj NJ <br /> Address License.#, . <br /> c 00 . <br /> COMPANY . /r� ��-C (./Or✓n /t�C— <br /> REOISTERED . Y/-N I FEE CURREN Y/N <br /> Address ga�l ;i�-�.. . , �'�� =�L�i�S : . "License# &� 3 <br /> z'RESIDENTIAL:-'Attach;:(2)Plof;P..lans'(2)sets•of Building Rlans;(1•)'set of-Energy_Forms;ftO-W.Permit,for new,constiuction, <br /> Minimumlten�(10).workind days;after'suiimifal�da,te. Required`•onsite;Gonstruction Plans;Stormvirater Plans w/Silt Fence installed, <br /> Sanitary Facilities&:1,dumpste,,,Site,Work.Permit forsubdivisionsAarge'projects -" <br /> ;;COMMERCIAL Attach'(2)`complete"sets of'BuildIng Plans plus a Life Safety Page;(1)set of Energy Fortes.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 Permitfor-all-new projects.All commercial requirements must meet compliance <br /> SIGN.PERMIT Attach(2)sets_of,Engneeted'Pians. <br /> ****PROPERTY SURVEY required.for_aILNEW Construction... <br /> ections: <br /> Fill;out.application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500;a Not)ce:of,'Commencement is required..-,;(A/C--;upgrades over$7500) <br /> Agent;(forttie:dbfit tctgr)or,Power.of-Attomey, We�;o would be someone with notarized letter from owner,auth_oriziggsartie <br /> `' OVER T,HE 000NT_ER;PERMITTING... '(copy,of contiact required)? <br /> Reroofs if shingles Sewers Service Upgrad s.A% 1. Fenoes Plot/Surve /Foots a <br /> ( y 9 ) <br /> J <br /> Driveways-Not over Counter,if;onpubli'c'toadiryays.in'eecjsROW - ` '` <br />