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� ,�n �" (� �� <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 �=g' �' � <br /> Building Department � r � I � ]''7 <br /> �� � i �_ <br /> Date Received Phone Contact for PermiKin � 2 �- ✓` :� �� ��.{� <br /> TT__f_f"T-� � 1 � 1� � <br /> Owner's Name J r Z� �Owner Phone Number � � <br /> Owner's Address � 5 I ��"'�OWner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � D OG V� ' LOT # � <br /> SUBDIVISION PARCELID�1 35-25 �05� <br /> (OBTAINED FROM PROPERTV TA% NOTICE� <br /> WORK PROPOSED e NEW CONSTR B ADDlALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � A � �S C ��� SI v' 'S <br /> V <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> �BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �--�+,� <br /> / " <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / ' 1 G <br /> L (/ / <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> rJ , <br /> BUILDER • � • y COMPANY • • • • • ` • • •• <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � License # <br /> ELECTRICIAN � O• COMPANY N� S � <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N <br /> Address L I License # E 2 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI: Y/ N <br /> Address License # <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> OTHER � COMPANY � � <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/ N <br /> Address License # <br /> 1111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Pertnit for new construction, <br /> Minimum ten (10) working days attar submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster, Sile Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans pius a Life Safaty Page; (1) set of Energy Fortns. R-0-W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConsWCtion Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary FaaliUes 8 1 dumpster Site Work Permit for all new projects. All commercial reqwrements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> '°'PROPERTY SURVEY required for all NEW constr�ction. <br /> 1 1 1 1..1 1 I I�L I�i�l..l - <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If ovar 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent (for the contrector) or Power of Attomey (for the owner) would be someone with notarized letter trom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />