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813-780.0020 City of Zephyrhills Permit Application Fax-813780-ppyl <br /> Buildinp Department <br /> Date Received a� <br /> Phone Contact for Pertnittin a., _ <br /> Ownefa Name V�, ,� Owner Phone Number p � • �g •� <br /> Ownefs Address Q 1 Owner Phone Number <br /> Fee Simple Titleholder Nam /V /� Owner Phone Number �--� <br /> Fee Simple Titleholder Address �" !r <br /> JOBADDRESS J�� L LOTlf C� <br /> SUBDIVISION �CEL ID7k �'ds 'a�+ � � <br /> (OBTAINm FROM VROPERTY TAII NOTICE) <br /> WORK PROpOSED B NEW CONSTR 8 ApD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL O � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE �—� SQ FOOTAGE HEIGHT � <br /> �BUILDING S n / VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION _1-; / Z y`� � <br /> / " <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OyES NO <br /> BUILDER COMPANY s <br /> SIGNATURE REGISTERED Y/ N FEE RREA Y J N <br /> Address License� C[. �3 <br /> ELECTWCIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA y/�.J <br /> �d�� License� —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/�.J <br /> Address <br /> License* <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License i <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. y/(.J <br /> Address <br /> License N <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTAL Attadi(2)plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conshuction, <br /> Minimum ten(10)w�akinp days after submittal date. Required onsite,Construction Plans,Stortnweter Plans w/Sifl Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/Iarpe projects <br /> COMMERCIAL Attach(3)complete sets oi BuiWing Plans plus a Lffe Safety Pape;(1)set pf Energy Forms.R-O-W Pertnit for new consUuction. <br /> Minimum ten(10)waking deys after$ubmittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 6 1 dumpster.Site Work PertnH for all new projects.AO commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered plans. <br /> ""PROPERTY SURVEY required for all NE W constn�ction. <br /> Directlons: <br /> Fill out application completey <br /> Owner 8 Contractor sipn back of application,notarized <br /> It over 52500,a Notice of Commencement ts requtred. (A/C upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attomey((or the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (Front of Application Onty) <br /> Reioofs H shingles Sewers Service Upgrades A/C Fences(Pbt/Survey/Footage) <br /> Drivewaya-Not aver Counter N on public roadways..needs ROW <br />