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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • , Building Department <br /> IDate 6tec�ived /j'..��f�/ 3 27� -- Z7�� <br /> l Phone ContacQ for Permitting <br /> , � \�` � <br /> Owner's i�ame � � c� Owner Phone R�umber <br /> Owrner's Adciress S 3�'� � Owmer Phone Idumber <br /> Fee Simple Titleholder ldame Ouvner�hone Mureiber <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SU�DINISIOId �ARCEL ID# � <br /> (OBT.9INED FROM PROPERTY TAX NOTICE) <br /> WORCL 6'ROPOSED e NEw CONSTR� ADD/ALT 0 SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> ��tOP05ED USE Q SFR CONiM � OTHER <br /> �YVPE OE'COIdSTRUCTlO� Q BLOCK � FRAME � STEEL Q <br /> D��C9tIPT10M OF lMORF� S � <br /> �UI�IDI�G SIZE SQ FOOT�►GE� 41EIGH� <br /> OBUILDING $ �� VALUATIOfV OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �,1 <br /> OPLUMBING $ i f��6 I�Z'���J ��" <br /> � `� ����S�l <br /> OMECHAMICAL $ VALUATION OF MECHANICAL INSTALLATIOfV � ���(J �'� ,_'/ <br /> O , �,1�-��' <br /> �GAS Q ROOFIMG Q SPECIALTY 0 OTHER (� ��� 1 `, _,rl� �Se-T <br /> � }?' �.� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO,7 ��y...i�- � 4��� <br /> �C � <br /> IBUILDER �'} ��D CO@flPAR� �W <br /> SEGR14►TID� ��� �...�-' �J REGISTERED Y I N FEE CURRE� Y/M <br /> �ddress License# <br /> ELEC�'FtICIAAI • V CORliPdfNV �Q � � <br /> SIGi�ATIDRE REGISTERED / N FEE CURREfi Y/N <br /> Address Z � 33 �icense# --�3��s�'C�7 <br /> �LURflBE62 �/��, �V CORflPAR9Y <br /> SIGRIATU�� lY REGISTEREO Y/ N FEE CURRE� Y/�I <br /> �ddress License# <br /> f�iECHAR9ICAL (�, �,/ CORflPAR�Y <br /> �li �� f���tl'�-//��//� <br /> SIG�c�yU�tE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHEI2 CORflP�4tdY <br /> SIGA�A�TQIRE REGISTERED Y/ M FEE CURRE� Y/N <br /> Address License# <br /> E2ESIDERIYIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> I Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> CO{iflMERCIAL Attach(3)complete sets of Buildfng 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 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet comptiance <br /> SIGfd 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 32500,a filotice of Commencement Is required. (�41C upgrades over$7500) <br /> •° Agent(for the contractor)or Power of Attomey(for the owmer)would be someone with notarized letter from owner authorizing same <br /> O!/EFt THE COUIdTER PERRIII'PTIfdCa (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveavays-Not over Counter if on public roadways..needs ROW <br />