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813-780-0020 City of Zephyrhills Permit Application F���a-�so-ooz� <br /> �I.'-�� i <br /> Building DepartmeM <br /> Date Received ` �-,3j�r phone ContactTor Permitfing O � _ [O � <br /> 1 1 1 1 1 1 1 1 1 1 � � � <br /> ' � 1 <br /> Owners Name � Q Owner Phone Number <br /> p�er$p�� � Owner Phone Number <br /> Fee Simple TiUeholder Neme Owner Phone Number <br /> Fee Simple lttleholder Address <br /> JOBADDRESS � S� LOT# � <br /> SUBDIVISION (� PARCEL ID# I'� I � • • OD [� <br /> (OBTAINED FROM PROPERTY TA7(NOTICE] <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEI Q <br /> DESCRIPTION OF WORK (1� U W J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> ILDING S � ALUATION OF TOTAL CONSTRUCTION <br /> ELEC?RICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. �� <br /> QPLUMBING $ `��S <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ��� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ND�'✓ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> `J <br /> BUILDER COMPANY • <br /> SIGNATURE ttECisr�eo Y/N �c � Y!N <br /> Address License# J �� - <br /> ELECTRICIAN COMPANY <br /> SIGNATURE r�cis�m Y/N r�cur�r� Y/N <br /> AddrOSS License# <br /> PLUMBER COMPANY <br /> SIGNATURE r�cisTm� Y/N �cwtr�N Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE r�cis�xen Y/ N �cuwt�u Y/N <br /> qddress License# <br /> OTHER COMPANY <br /> SIGNATURE t�clslmED Y/ N �cURRErv Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111 � � 11111111111111111111 � 1111111 <br /> RESIDENitAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oF Energy Forms;R-0-W Permit for new construdion, <br /> Minimum ten(10)working days after submittel date. Required onsite,ConsWdion Plans,Stortnwffier Plans w!Silt Fence installed, <br /> San'rfary Facilities&1 dumpster,Site Work Pertnft tor subdivisions/large projeds <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,Stortnwate�Plans w/SiR Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Wak Permit for all new projects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets W Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWdion. <br /> DirecWons: <br /> Fill out application complately. <br /> Owner 8 Contractor sign back of application,notarized <br /> If wer�2600,a Notice of Commancement is required. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)woutd be someone with notarized letter from oxmer authorizing same <br /> OVER THE COUNTER PERMITTING (FroM of Apptication Only) <br /> Reroafs if shingles Sewers Service Upgredes A/C Fencea(PbUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..rreeds ROW <br />