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813-780-0020 City of Zephyrhills Permit Application Fax-813-7g0-pp21 <br /> Building Department <br /> Date Recelvetl •��� ` <br /> Plwne Confaet for Pormlttln /3 <br /> Owner's Name Owner Phona Number 8�J �/�f �•—L�,� <br /> Owne�'s Address � 1 V �^� /'y��`Owner phone Number � <br /> Fao Simp�o Tltloholdor Namo Owner Phorq Numbor <br /> Fea Slmple Tltleholder Addross <br /> JOB ApDRESS 7� ' �V ,^ �; L, r'" �T� � <br /> SUBDIVISION PARCEL IDA� <br /> (OBTAINED FROM PFIOPERTY TAX NOTiC� <br /> WORK PROPOSED e NEW CONSTR 8 ApD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPO8ED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �'—'— —� <br /> DESCRIPTiON OF WORK L' (��Z'F � �n C r L� <br /> BUILDINQ SIZE SQ FOOTAOE HEIOHT �� <br /> �BUIIDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.F2.E.C. <br /> QPLUMBING y <br /> � f <br /> QMECHANICAL $ .,^� VALUATION OF MECHANICAL INSTALLATION j��� <br /> (/ / <br /> QGAS ROOFING Q SPECIALTY <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER � COMPANV —� <br /> SIONATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> /�tbf6S3 <br /> License# <br /> ELECTRICIAN � COMPANY � —� <br /> SIQNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER � COMPANV <br /> SIQNATURE REGISTERED Y/ N FEE CURRE� Y J N <br /> �3S License# � <br /> MECNANICAL � COMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Addross <br /> License# <br /> OTHER COMPANY ��L CrD/!flrG 7�1 1 <br /> SIQNATURE REGISTERED Y/ N FEE CURREI. /P) <br /> �,°`°ss � �,��# .33 0o S <br /> � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permil for new construction, <br /> Minimum ten(10)working days after submktal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies&1 dumpster,Site Work permit for suDdivisansllarge projeds <br /> COMMERCIAL. Attach(3)camplete sets of Building Plans plus a Life Sa6ery pege�(�)set of Energy Fortns.R-O-W Permit for new ccnstrudion. <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plens,Stormwater p�ans w/Sflt Fence installed, <br /> Sanitary Fadlities&1 dumpster.Site Work Pertnk for all new projects_q���pmmercial requirements must meet compllance <br /> SION PERMI7 Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construUion. <br /> Diroctlons: <br /> Fill out application completely <br /> Owner&Contractor sign badc of applicatan,notarized <br /> If over 52900.a Notico W CommancomeM Is requlred. (A/C upgrados over 57500) <br /> ° Agent(tw the coMractor)or pqyer of Attomey((or qie o�mer)would be someone with nofarized letter from owner authwizing same <br /> OVER TTIE COUNTER PERMITTINQ (Front of App�ication Only) <br /> Reroofs if shingles Sewere Service Upgrades A/C Fences(PlotlSurveylFootape) <br /> �rlvaways-Not over Counter if on puWic roadways..needs ROW <br />