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v <br /> ��`�1 1 813-780-0020 City of Zephyrhills Permit Application Fsix-813-780-0 21 <br /> Building Department <br /> (�j��, n,�4�� . <br /> r'�r,�' i Date Recelved s j�-t' � phone Contact for Permittln � 7 �' _ <br /> (/1 L <br /> Owners Name Owner Phone Numbar �� 2�; � �( <br /> OwneY's Address �� ..� Owner Phane Number � <br /> Fee Slmple Tltleholder Namo N'7 333� Owner Phone Number � <br /> Fee Stmple Tltleholder Address <br /> JOBADDRESS l7 �� �t.3� l0T# <br /> SUBDIVISION �--� pARCEL ID# 'O��' • �f� <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) � ��� <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN � � DEMOLISH <br /> INSTAL� REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FR.4ME � STEEL Q � <br /> � p <br /> DESCRIPTION OF WORK p � <br /> BUIIDING SIZE SQ FOOTAGE C� HEIGHT �� <br /> QBUIIDING $ � O� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY CI W.R.E <br /> OPLUMBING 5 ' ,j�{j� <br /> � G i <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECtALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY � / <br /> SIGNATURE aEG�S7ERED Y! N FEE nREn Y/N <br /> Address � Z �3� License# va� p� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y!N <br /> Address License# � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREA Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Licanse# � <br /> Illllllltllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Mlnimum ten(10)working days aker submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence inslall d, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisions/larye projects <br /> COMMERCIAL Attach(3)complete sets of Buildinp Plans plus a Life Safety Paye;(1)sel of Enerpy Forms.R-O-W Permil for new construclion. <br /> Minimum ten(10)worklnq days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence install d, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new proJecls.All commarcial requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW construction. <br /> Directlons: <br /> Filt out appiication completely <br /> Owner 8 Contraclor sign back ot applicaUOn,notarized <br /> If over 52500,a NoUce of Commencement Is requlred. (A/C upyrades over 57500) <br /> •• Agent(for the contraclor)or Power of Attorney(for the owner)wouttl be someone with nolarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/Foolage) <br /> Drlveways-Nol over Counler if on public roadways..needs ROW <br />