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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received I 3 a - a D <br /> Phone Contact for Permittin <br /> t <br /> Owner's Name i Owner Phone Number • ' OD� <br /> Owner's Addresa ,0. Owner Phone Number 2�U� <br /> Fee Simple Titleholder Name ( ✓ <br /> Owner Phone Number � <br /> t <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ,}j�i �, � <br /> ' T� LOT X <br /> SUBDIVISION PARCEL IDN O � • •D <br /> (OBTAINED FROM PROPEHTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD(ALT � SIGN Q � DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL � <br /> DESCRIP710N OF WORK • <br /> BUILDING SIZE SO FOOTAGE HEIGHT � <br /> QBUILDING $ I �D O <br /> ,� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE � �._S • <br /> REGISTERED Y/ N FEE CUR Y!N <br /> Addreas (�/ <br /> � License# L Q � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> AddflS$ � <br /> License 8 <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREA Y�N <br /> Address <br /> License# <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�111#11111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construaion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sitt Fence installed, <br /> COMMERCIAL Attach 3)co1mplete sets of Building P ans p usra L'rferSafety Page;/(1)gsetof E ergy Forms.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SiR Fence installed, <br /> Sanitary Facili[ies&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 construaion. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If eve►52500,a NoNce of Commencement ia required. (qiC upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIOVSurvey/FOOtage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />