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' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' . Builtling Departmenl �f � �� ��� �� <br /> �l <br /> •Date Receiv¢d � S�� -- L.{ '� G f <br /> hone Contact for Permitting , v � <br /> 11111 I 11 �` . y, 1 t..Y'1 <br /> Owners Name ({�/ n 1 � �.� Owner Phone Number 3� l�� <br /> Owners Address �1 V Owner Phone Number �_ <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# � <br /> SUBDIVISION PARCEL IDN " '� �� � O �' O <br /> (OBTAINED FROM PROPERTY T NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR �' COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �'�, � iJ M <br /> BUILDING SIZE SQ FOOTAGE I�"7 HEIGHT <br /> � � � 1 1 1 1 � � � � � � � 1 1 1 1 1 � � � � � � 1 1 1 � � � � � � 1 1 � � � � � � � 1 1 I � � � � � � � 1 1 1 � � � � � 1 1 1 � � � � <br /> �BUILD�� $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PR SS ENERGY O W R.E.C. <br /> �PLUMBING $ ��, / ° �— �� <br /> _...�_. I j <br /> �---�--��"_. ..._._ � , <br /> OMECHANICAL $ � VALUATION OF MECHANICAL INSTAL�P,TION � �/ <br /> '� i� <br /> �GAS 0 ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY O� G �O� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> o ` C <br /> Address . � � License # <br /> ELECTRICIAN � . COMPANY p ' CS �I� `'R`G �r +N� • <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENIIAL Attach (2) Piot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans wJ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a L'rfe Safety Page, (1) set of Energy Forms R-O-W Pertnit for new construction <br /> Minimum ten (10) working days after submittal date. Required ons�te, Construction Plans, Stortnwater Plans w1 Silt Fence installed, <br /> Sanitary Facilities 8 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 ail NEW construction. <br /> �������������������������������������������������������������������� <br /> Dnections: <br /> Fil� out application completely <br /> Owner 8 Contrador sign back of application, notarized <br /> If over E2500, a Notice of Commencement is required. (AIC upgrades over �7500) <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 PERMITi1NG (Front of ApplicaGon 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 />