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813-780-0020 City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Depafinent <br /> Date Received � -' � /� � 5 <br /> v �- Phone Contact for Permittin � Z-- <br /> Owner's Name Owner Phone Number ��� ��V ? <br /> Owner's Address ��/z � 2` Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� J � Z� \ LOT# � <br /> SUBDIVISION �— —� PARCEL ID# ��"�Z�t`Z/ � �D/D.—QZ�OTJ -- pD0 d <br /> (08TIUNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR� ADD/ALT Q SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> . ., <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE $Q FOOTAGE HEIGHT ] <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [��ECTRICAL $ ��� C� AMP SERVICE /v� Q� PROGRESS ENERGY Q_ W.R.E.C. <br /> . <br /> ,�� <br /> QPLUMBING $ "� <br /> � \ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO � �� �� <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ` �' <br /> FINISHED FLOOR LEVATION -°-- �'J � ��~ <br /> E S FLOOD ZONE AREA QYES , I <br /> ��, <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN COMPANY ��/�Ll�C� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �� • License# ��l�C� 3 D� � <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 /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Bufiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciflUes 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&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 /> wwt�PROPERI'Y SURVEY required for all NEW construcdon. <br /> Directions: <br /> Fill out applicatlon completeiy. <br /> Owner&Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement Is required. (AIC upgrades over 57500) <br /> '" Agent(for the conUactor)or Power of Attomey(for the owner)would be someone with nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of AppUcation 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 />