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` \ <br /> 813-780-0020 City of Zephyrhills Permit Application Fax-613-780-0021 - <br /> Building Department <br /> . � <br /> Da4e Received Phone Contac4 for Permitting __ <br /> OveneP's R1ame � � ' Oevner Phone fdumber 3° � <br /> Owner's�,ddress `� �j r � �L 'ZO�nmer Phone Murnber �l�^ ���� <br /> Fee Sim�le Titleholder R9ame � ' � � � Ov�rne��hone fNumber <br /> Eee Simple Titleholder Address <br /> JOB c4DDEtESS � LOT# �� <br /> SUBDINI�IOM PARCEL ID# <br /> (OBTAIMED FROM PROPERTY TAX NOTICE) <br /> WOR4t P6tOPOSED e NEW CONSTR e ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOS�D U5E Q SFR Q COMM 0 OTHER <br /> NPE OE COfdSTRUCTIOf� Q BLOCK Q FRAME � STEEL Q <br /> D�SC(tlPTIOR!OF lMORK � <br /> �U9L.DlPdf�SiZE SQ FOOT�4GE � � FIEIGFOT �, !� � <br /> OBUILDING $ ' � VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> �ELECTRICAL $ AMP SERVICE �ROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��� `/ <br /> � r <br /> OMECHANICAL $ VALUATION OF MECHAiVICAL INSTALLATION •('�,"I <br /> �� <br /> OGAS Q ROOFING �SPECIALTY 0 OTHER �,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES tV0 <br /> 1 / <br /> , y' , <br /> 18UIL � _ _ _---° / / _.____-_- -- -COflflPE► � <br /> SIGidATUR� - ';`�rr� ~� REGISTER� Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �LEC'PRICIAiN COflfl�A�Y <br /> SIGV�ATUFtE REGISTERED Y/ �V FEE CURRE� Y/N <br /> li <br />/ Address License# <br /> PLUi1flBER GOfNiPAR1V <br /> SIGfdATiJRE REGISTERED Y/ N FEE CURRE� Y/M <br /> �ddress License# <br /> tUIlECF0AV�0CAL CORFIPAWY <br /> i SIG�ATURE REGISTERED Y/ M FEE CURRE� Y/N <br /> , dddress License# <br />/� OTHER COiUIPARiV <br /> SIGR141T17RE REGISTERED Y I N FEE CURRE� Y/IV <br /> Address License# <br /> RESIDEfdTIAL 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities 8�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COfYIBAEi2C1AL 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 aftersubmittal 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 /> SIGfd PEF�MIY Attach(2)sets of Engineered Plans. <br /> •""PROPERTY SURVEY required for ali NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> !f ove��2500,a Motice of Commencement is required. (A/C upgrades over$7500) <br /> '• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ONER'�HE COURITER PERMITTIidG (Front of Application Only) <br /> Reroofs if shingles Sewers Seryice Upgrades A/C •.Fences(Plot/Survey/Footage) ' ' <br /> Drivevuays-Not over Counter if on public roadways..needs ROW - <br />