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813-780-0020 City of Zephyrhills Permit Application ��( Fax-813-780-UO21 <br /> . • Buiiding Department I <br /> i <br /> Date Received I/� ,� _� f I <br /> v Phone Contact for Permitting 3 �j __ 7�j � <br /> Owner's Name �,v� � n - �� 3 i � � <br /> Owner Phone Number `� 2� � <br /> Owne�'s Address '�1 �� � � C � � <br /> Owner Phone Number <br /> Fee Simpie Titleholder Name � <br /> Owner Phone Number � <br /> Fee Simpie Titleholder Address � <br /> JOB ADDRESS ` � � � p� <br /> , LOT # <br /> SUBDIVISION �IIJ� l S P�(Z (�t.G Q/� �( �, PARCEL ID# � S'L �"' Z( OI b�' OO(�U -� 3 3� <br /> WORK PROPOSED (OBTAINED FROM PROPERTY TAX NOTICE) I <br /> CONSTR ADD/ALT �� SIGN Q Q DEMOIISH I <br /> INSTALL 8 REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK a FRAME � STEEL � <br /> DESCRIPTION OF WORK �/Cs .� �J� � I Z� V Q C TjC` �' � S � -� � ` <br /> s <br /> BUILDING SIZE SQ FOOTAGE� <br /> HEIGHT <br /> �BUILDING $ � � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE ' <br /> 0 PROGRESS ENERGY � W,R.�.C, <br /> �PLUMBING $ <br /> 2( I <br /> �MECHANICAL $ �(2,��Jv � <br /> VALUATION OF MECHANICAL INSTALLATION <br /> [�GAS Q ROOFING Q SPECIALTY �� OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO I <br /> - i - ttt-1 <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � ----,}.� <br /> License # � <br /> ELECTRICIAN COMPANY ' � <br /> SIGNATURE REGISTERED I <br /> Y/ N FEE CURRE� Y/ N I <br /> Address <br /> License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N f <br /> i <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� �' /(� I <br /> Address <br /> License # <br /> OTHER COMPANY � S � 7 <br /> SIGNATURE � <br /> �� u� � REGISTERED Y/ N FEE CURREP Y/ N <br /> �� r-��ss� � y . 7 '- �� � QA License # `. � � 0 � 1 [ L <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (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/ Sitt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety 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 insta led, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. I <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized � <br /> If over $2500, a Notice of Commencement is required. (A!C upgrades over $7500) <br /> *" Agent (for the contractor) or Power of Attorney (for the owner) would be someone wlth notarized letter from owner authorizing same I <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..needs ROW <br /> I <br />