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813-780-0020 City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Departmen[ <br /> Date Received � Q <br /> 4� Z �' Phone ConWct for Pertnittin <br /> TI "T7 ' <br /> Owners Name �L�js � �� }� � Ow�er Phone Number <br /> Ownefs Address �� �� Owner Phone Number � <br /> Fee Simple TiUeholder Name Owner Phone Number � <br /> Fes Simple Tideholder Address <br /> JOB ADDRESS �7 �j � LOT # � <br /> SUBDIVISION PARCELID# ��� 2�� ZI' Ob�Q'�Z �a • O� O <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED NEW corv57R ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR COMM O OTHER <br /> TYPE OFCONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTtON OF WORK � p� . <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT �� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> EIECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREf. Y/ N <br /> Address <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # ,�—� <br /> OTHER � COMPANY ' � I� ( �C � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address L `S 35�� License# (CC �SZ q2 <br /> illllllllllllllllllllll llllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Atiach (2) Plot Plans; (2) sets of Buitding Plans; (1) set of Energy Fortns; R-O-W Pertnit for new construclion, <br /> Minimum ten (10) working days afler submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster, Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a L'rfe Safety Page; (1) set of Energy Fortns. R-O-W Permit for new construction. <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Pertnit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> '* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicabon Only) <br /> Reroofs if sh�ngles Sewers Service Upgrades A/C Fences (PIOVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />