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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building De�artment <br /> . � <br /> Date Received g��j �-•3( x��(.�Z <br /> Phone Contactfor Permittin <br /> Owner's Name Owner Phone Number O� •�J�i • (���Y <br /> Owner's Address � Owner Phone Number � <br /> Fee Simple Titleholder Name �� Owner Phone Number <br /> Fee Simple Titleholder Address I't �- <br /> JOB ADDRESS G% �"'�� �-�- - �� <br /> LOT# <br /> SUBDIVISION n C PARCEL ID# � � � �r — � � D�}I �� ° ��� <br /> ,,..yy���, (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT �J( I SIGN Q Q DEMOLISH <br /> INSTALL REPAIR 7�� <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTiON OF WORK <br /> �ull �u�-- -it� ' .l=X��N 5� �"��—f SIc cJ <br /> BUILDING SIZE ` SQ FOOTAGE � HEIGHT �� <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $���, I � VALUATION OF MECHANICAL INSTALLATION � /�LI� <br /> ti <br /> QGAS � ROOFING Q SPECIALTY� OTHER <br /> JT <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y(N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address ,.r-'"� <br /> License# <br /> MECHANICAL , ' � COMPANY l/ '� <br /> SIGNATURE �� REGISTERED •N FEE CURREN N <br /> Addres,v ( s LI � License# <br /> OTHFK' COMPANY —� <br /> SICWATURE REGIS7ERED Y/ N FEE CURREN Y J N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIII � IIIIIIIIIIIIt1I111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new constiuction, <br /> Minimum ten(10)worlcing days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/SiR Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Faalities&1 dumpster.Site Wark Pertnit for all new projecfs.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)se5 of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contrador sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. ({UC upgrades over E7500) <br /> 1 ,�� " Agent(fa the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> �`y OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />