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. 813- 780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 j? IJU <br /> �.�i 5 L <br /> Building Department <br /> `( �J <br /> • <br /> Dal. ReReceived �J m <br /> Phone Contact for 0 Q I� ,- 11 – 1 ' / i I <br /> Owner s Name Ill..- � /� 3 �'! Owner <br /> //� Ph000nne J / � Number <br /> Owner's Address I T { \ S QO/t O‘wnrfr Plgi dumber I <br /> Fee Simple Titleholder Name) Owner Phone Number I <br /> Fee Simple Titleholder Address I _ <br /> JOB ADDRESS �L/fn&`�a�;'_ LOT # I <br /> SUBDIVISION PARCEL W/I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED F NEW CONSTR I I ADD/ALT n SIGN n MOVE n DEMOLISH <br /> STALL REPAIR <br /> PROPOSED USE n SFR 1 1 COMM n OTHER 1 I <br /> TYPE OF CONSTRUCTION El BLOCK 1 1 FRAME n STEEL O OTHER 1 <br /> DESCRIPTION OF WORK I t o j ' v �(� t S/.. I <br /> BUILDING SIZE I J _oi'. ` SO FOOTAGE HEIGHT ( I <br /> n BUILDING IS VALUATION OF TOTAL CONSTRUCTION <br /> n ELECTRICAL IS AMP SERVICE n PROGRESS ENERGY n W.R.E.C. <br /> n PLUMBING IS <br /> n MECHANICAL IS VALUATION OF MECHANICAL INSTALLATION <br /> O GAS n ROOFING [ SPECIALTY n OTHER <br /> FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA OYES ONO <br /> BUILDER f � _� ,� ` <br /> SUILD E \` Q COMPANY a m,,,„__ a m,,,„__ �. , r_ <br /> B _A7 <br /> L. v .`.. ` - -;�,. REGISTERED MM. . 3.. Inellr <br /> Address I 1 i 1 License # I <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED 1 Y 1 N I FEE CURRENT i Y/ N I <br /> Address I License # 1 <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I <br /> Address I 1 License # 1 <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED ' Y/ N I FEE CURRENT t Y/ N I <br /> Address I 1 License # 1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y 1 N I FEE CURRENT i Y/ N <br /> Address I 1 License # I <br /> i <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fame; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stannwater Plans w/ Sit Fence installed, <br /> Sanitary Fadlities & 1 dumpster, Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Lire Safety Page: (1) set of Enerav Forms. R-O-W Permit AN new <br /> Minimum ten (10) woddng days after submittal date. Required onsite, Cain Plans, Starnwater Plans w/ Silt Fence wtsuc <br /> Sanitary Fadltles & 1 danpster. Site Work Permit for all new projects. Al commercial requirements must meet complance <br /> SIGN PERMIT Attach (2) nets or Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign beck of aoolication. notarized <br /> If over $2500. a Notice of Commencement is regaled. (NC upgrades over $5000) <br /> Agent (for the contractor) or Per of Attorney (for the owner) would be someone with notarized leder from owner at:Manzfng same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter N on public roedways..needs ROW <br />