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; 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received 7a� 232 �'f� <br /> Trn-r� Phone Contactfor Pertnitting __ <br /> - rrr <br /> Owner's Name Owner Phone Number a 3� —�2 <br /> Owners Address /7 Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1 �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# �.1 . �j�- � —� l <br /> J <br /> (OBTAINED F�PROPERTY TA�710E)DEMOLISH <br /> WORK PROPOSED B NEw CON57R� ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIP710N OF WORK ��� � � <br /> BUILDING SIZE SQ FOOTAGE ,L-• HEIGHT <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ! <br /> �GAS Q ROOFING Q SPECIALTY <br /> 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREA �'/nJ <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Add ress � <br /> License# <br /> MECHANICAL COMPANY �� <br /> SIGNATURE n� , <br /> ISTERED Y/ N FEE CURRE� Y/N <br /> Address �0 e._P ,. � <br /> �� J� License# <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 II 1 IS 1#1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit 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 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building 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. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over E7500) <br /> " Agent(for the contractor)or Power of Atromey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />