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81'�-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparfment <br /> Date Received ' � ' <br /> Phone Contact for Permittin <br /> Owner's Name 1�Z <br /> Owner Phone Number <br /> Owner's Address � � j � � �- Owner Phone Number � <br /> Fee 5imple Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1(J� � 1 Q,� � ,' , n <br /> r�.0 LOT# � <br /> SUBDIVISION � PARCEL ID# <br /> WORK PROPOSED B (OBTAINED FROM pROPERTY TAX NOTICE) <br /> NEw CONSTR e ADD/ALT .� SIGN O �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM <br /> TYPE OF CONSTRUCTION � BLOCK �� �THER <br /> Q FRAME � STEEL � r <br /> DESCRIPTION OF WORK -n-^ � �. � ._,_,.�., , -- <br /> . � <br /> BUILDING SI2E SQ FOOTAGE <br /> HEIGH <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � � <br /> PROGR�SS ENERGY Q W.R.E.C. <br /> �LUMBING ,�'� <br /> $ � Lt0 0 C� <br /> OMECHANICAL $ VALUATION OF ME � Ir�/�� <br /> CHANICAL INS LLATION / <br /> [�JGAS [� ROOFING _���„�,..,-��d <br /> [� SPECIALTY �� OTHER � <br /> FfNISHED FLOOR ELEVATIONS <br /> FLOOD ZONE AREA [�YES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � <br /> License# �— <br /> ELECTRICIAN <br /> 51GNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �_ <br /> License# C <br />'LUMBER � �� <br /> iIGNATURE COMPANY � ���-J - <br /> REGISTERED Y/ N FEE CURRE� y/�� <br /> Address <br /> License# i 3 �p <br /> IECHANICAL <br /> IGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# �— <br /> THER <br /> GNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# �_ <br />:SIDENTIAL Attach(2)Plot Plans;(2)sets of Building 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,Stormwater Plans wJ Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster;Site Work Permit for subdivisions/large projects <br />)MMERCIAL 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 /> ,Minim�m•tAn�(10�workipg days aftersi3bmittal 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 />�N PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> ections: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over a7500) <br /> Agent(for the contractor)or�ower of Attomey(for tfie bwner)would be someone with notarized letter from owner authorizin,y same <br />_R THE COUNTER PERMITTING (Front of AppliGation Only) <br />�ofs if shingles Sewers Service Upgrades A!C ' Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..nee�s i�OW <br />