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813-780-0020 City of Zephyrhills Permit Applic ' FaX-a�3aeo-oo2� <br /> Building Department <br /> Date Received �"" ' <br /> ' f�� � Phone Contact for Permittl <br /> Owner's Name ' ' Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �i L � LOT# � <br /> SUBDIVISION � � , PARCEL ID# 5�' f <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGEC� HEIGHT <br /> �UILDING $ �' VALUATION OF TOTAL CONSTRUCTION <br /> 7� <br /> [�ELECTRICAL $ AMP SER E ✓ PROGRESS ENERGY Q W.R.E.C. <br /> OP�UMBING $ J�. /�� /���/ � � <br /> � I CL.� �,r f�- .1/11.�1C�' <br /> QMECHANICAL $ VAL ECHANICAL INSTALLA� �• � 2 F <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �Q�� COMPANY ��NVi d w ��M�JON <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address O� o :n, d. pd Q L"Jr License# �(1 C Q�p�3� (p <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N 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 J N FEE CURRE� Y/N <br /> Address License# � -1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Slte 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)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 5z500,a Notice of Commencement Is required. (A!C upgrades over E7500) <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 Application Only) <br /> Reroofs if shingles Sewers Servlce Upgradeg A/E Fenc.es(PIoUSurvey/Footage) , <br /> Driveways-Not over Counter if on public ro�dways..needs ROW � <br /> � .... .. 7 '.I . � �� ,. <br /> Y++�<y..�+w-.,..... .. „ . . . • <br />