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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Budding Department <br /> Date Received ) �( T <br /> Phone Contact for Pertnittin �' (/ <br /> T1 1 r TT <br /> Owners Name 4 1 ^ `�' �Y,l,l^� � Owner Phone Number q'� ����j} �L> <br /> Owners Address � ' � � +J� Owner Phone Number ���� <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Tideholder Address <br /> JOB ADDRESS ���/ LOT# L.=J <br /> SUBDIVISION � � PARCEL ID# � � ,� �'� ' � " ! <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK �% Q; � � `� r�� <br /> BUILDING SI2E � SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E C / <br /> / �PLUMBING $ j J.� t �M � � �/ <br /> . � l/ � I � �����G\ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTA�LATION �/'r(�JF� <br /> �GAS � ROOFING � SPECIALN � OTHER 1' <br /> �a -� l 7 T `� <br /> t <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER �O�ANY � <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y N <br /> Address � L � � � �� � � License# A��G � <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 <br /> License# <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY �; �' <br /> SIGNATURE REGISTERED N FEE CURRE� /N <br /> , , � �L ��l . <br /> Address License# � <br /> 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1� 1 I 1 1 1 1 1 1 1 I 1 I I 1 1 1 i 1 1 I 1 1 1 1 1 1 1 1 t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans,(1)set of Energy Fortns,R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large pro�ects <br /> COMMERCIAL Attach(3)complete sets of Bwlding 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 Reqwred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permil for all new pro�ects All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans <br /> ""'PROPERTY SURVEY reqwred for all NEW construction. <br /> 1 <br /> Direcdons.• <br /> Fill out application completely <br /> Owner&Contractor sign back of apphcation,notanzed <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent(for the contrac[or)or Power of Attorney(for the owner)would be someone with notanzed letter from owner aulhonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Sernce Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />