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, 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-�21 <br /> 6uildmg Depertrnent <br /> Dabe Received .A � I,� <br /> Phone Co�et for Permitti ✓ <br /> Ovmer's Name - Owner Phooe Number �� '(1 � <br /> Owner's Address R �/J `� ' �r�!.s"r� �l� � /�U� �3 J �� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> dOB ADDRESS �2 � � LOT# � <br /> SUBDMSION PARCELIDIF �� '�/'�'�C '��� ���� <br /> (OBTAMW FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED NEwCONSTR ADDIALT Q SIGN Q Q Q DEMOLISH <br /> e INSTA�L e REPAIR XRF���v`� � hC�C.AGC� <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTlON OF WORK �-SK�nf > t,E� a Z � t � .z 7 -�/ <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ °� VALUATION OF TOTAL CONSTRUCTION <br /> . �' � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E C <br /> QPLUMBING $ ���/j,(,p <br /> � <br /> Y% 11 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REG�STERED Y 1 N FEE CURREN Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGI5iERED YI N FEECURREN Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y1 N FEECURREN Y!N <br /> Address License# <br /> MECHANICAL OMPANY � <br /> SIGNATURE EGI5TERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY .(G;C '-S G%/� LQ�� <br /> SICaNATURE REGISTERED Y/ N fEE CURREN Y/N <br /> Address 5 ��� �� /��' License# �(�,3���� <br /> Illltlllllllllllllllllllllllllllilllllllllllllllllllllllllllllillll <br /> RESIDENTUIL Attach(2)Plot Plans;(2)seLs of Bu�lding Plans;(1)set of Energy Forms,R-0-W Permd for new construction, <br /> Mfnimum ten(10)workmg days after submittal date. Required onsRe,Construction Plans,Stormwater Plans w!Sitt Fence installed, <br /> Sandary Facilities 8 1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page,(t)set of Energy Forms R-O-W Permd for new construction <br /> Mmimum ten(10)working days after submittal date Required onsde,Construction Plans,Stormwater Plans w/Sd[Fence mstalled, <br /> Sandary FacilRies 8 1 dumpster S�te Work Permrt for all new pro�ecls.All commeraal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engmeered Plans <br /> ""PROPERTY SURVEY required for all NEW consWctfon. <br /> Dired"ans:' <br /> Fill out application completely <br /> Owner 8 Contractor sgn beck of applicaLon,notanzed <br /> M over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone v�nth notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMiTTING (Front of Applicat�on Only) <br /> Reroofs if shmgles Seweis Service Upgrades A/C Fences(PIoUSurvey/Footage} <br /> Driveways-Not o"er Counter�F on puWic roadways.-needs ROW <br />