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; . <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-813=780-0021 <br /> Building Department <br /> \ <br /> �Date,Receiv�d � / � r� L . <br /> — (G�— Phone Contact for Permi ng l f -- <br /> �` Owner's Name (,�� �Owner �- (�� <br /> � <br /> " 'p Oarner's Address � ((/ 1 (, . Owmer Phone Number ! F 'D (� _ � <br /> J `� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple T(tleholder Address � <br /> �JOB ADDRESS �S� �Gt-I�G� �� LOT# � <br /> ! <br /> SUBDIbISION PARCEL ID�R <br /> (OBTAINED'FROM PROPERTY TAX NOTICE) <br /> MIORK PROPOSED NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM • � �OTHER 'Z� -. � <br /> TYPE OF CONSTRUCTIOM Q BLOCK � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��� F � � <br /> BUILDING SIZE. SQ FOOTAGE� HEIGHY <br /> , UILDING $ _ /'q�J � VALUATION OF TOTAL CONSTRUCTION, <br /> �/ v <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING ' $ <br /> . ����3 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FIMISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ! /� <br /> BUILDER � -� • COMPANY p!� <br /> SIGNATUR� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAM COAflPAMY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUAABER COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> A►ddress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER , COMPANY � <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL 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,Construclion Plans,Stormwater 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 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 upgrades over a7500) <br /> "• Agent(for the contractor)or Power of Attomey(for the owner-)would be someone with notarized letter from owner authorizing same <br /> 01/ER THE COUNTER PERMITTING;';; �-:(Front of'Application.Qnly) � ` - <br /> Reroofs if shingles Sewers':,� , Seniice Upgrades P+)C � Fences(Plot/Survey/Footage) �, ,. <br /> Driveways-Not over Counter if on public roadways.needs ROW .. �_., '� : , . <br />