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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � Date Received <br /> Phone ConWct for Pertnitting -- <br /> -TITI-1 r <br /> Ownefs Name � �� �( G (Z�Z., Owner Phone Number �3'� � <br /> Owners Address � �p I�q ( Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S�O C L r�A►• � .L.��. LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTV TAJ(NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADDlALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIP110N OF WORK � t t �-�}�� `.X.( r�N �� <br /> ♦ <br /> BUILDING SIZE SQ FOOTAGE �S HEIGHT U <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �E�ECTRICAL �� AMP SERVICE O PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ ��� j� <br /> '+, J <br /> QMECHANICAL $ � I C' VALUATION OF MECHANICAL INSTALLATION I ' <br /> J <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO 7 � (Q Z7 <br /> v <br /> BUILDER COMPANY �— <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address License# <br /> ELECTRICIAN � � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License# <br /> MECHANICAL � G�`' �/ COMPANY /'1'LD�CC� IM`�GN+f�IG�7�- �M <br /> SIGNATURE vf%C�� REGISTERED Y! N FEECURREh Y!N <br /> Address � ! 2( N • �7 � License# `/T l..D C�Z-3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> License# <br /> 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 <br /> RESIDENIIAL 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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 construdion. <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&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 construction <br /> Directions:• <br /> Fill out apptication completely <br /> Owner&Contrador sign back of application,notarized <br /> If over 52500,a NoGce of Commencement is required. (A1C upgrades over Z7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFootage) <br /> Driveways-NOt over Counter if on public roadways needs ROW <br />