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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> IDate 02eceibed Phoree Contact for Permitting � — � <br /> OFwner's i�"ame� '� �^ �. � C� � � Oe�ner�hone iVumber �3- .�G. ��(�(� <br /> Ovener°s Address J��� ��f� ��� O�arner Phone Rlumber <br /> �ee Stmple Titleholder ldar�e " Owne�Phone{dumber <br /> �ee Simple Titleholder Address <br /> .DOB�►DDRESS ��S q Y1.. (S �L• 3 3 S 7 Z LOT# � <br /> SUBDIbISIOM PARCEL ED# <br /> - , (OBTAINED FROM PROPERTY TAX NOTICE) <br /> FfHORO(PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> �ROPOSED USE Q SFR Q COMM � OTHER <br /> TVPE OE COIdSTRUCTIOV� Q BLOCK Q FRAME � STEEL Q <br /> DE�CRIPTIOtd OF HMORK I 'T�X�, 1�1 �o�� v � (�'� <br /> BUILDIR9G SIZE SQ FOOTAGE� 9iEIGt7T <br /> OBUILDING $ ( ,' p �U VALUATION OF TOTAL CONSTRUCTION <br /> _�. � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS EfVERGY � W.R.E.C. <br /> OPLUMBING $ / C���� <br /> � v <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOfV <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �UILDEb2 � �' c CONAP�IMY i"(,O�� ��n�� <br /> $SGIdATIDEtE REGISTERED Y/ N FEE CURRE� Y/N <br /> �lddress License# <br /> �LECTRICIAR9 COflflPA1dY <br /> SIGi��1Tl9RE REGISTERED Y/ IV FEE CURRE� Y/N <br /> Address License# <br /> PLUMIBER COMiP91i�Y <br /> SIGRIATURE REGISTERED Y/ I�I FEE CURRE� Y/N <br /> �lddress License# <br /> fiffIECHAfdICAL � COMPAMY <br /> SIG�e��UFZE REGISTERED Y/ IV FEE CURRE� Y/N <br /> �ddress License# <br /> OTHEFt COMPARIY <br /> SIGfbATl1EZ� REGISTERED Y/ Rl FEE CURRE� Y/N <br /> s � <br /> �►ddress License# <br /> RESlDEWTIf►L 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 Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> CO�iRflE92C1/4L 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 Pians,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 PEEifWIT Attach(2)sets of Engineered Plans. <br /> ""•PROPERTY SURVEY required for all NEW construction. <br /> Direct(ons: - <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If oeer�250D,a Motice of Commencement is required. (A!C upgrades over�7500) <br /> •• Agent(for the conVactor)or Power of Attomey(for the oavner)would be someone with notarized letter from owner authorizing same <br /> ObER YHE COUMTER PERAflITTIfdG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Deiveenrays-Not over Counter if on public roadways..needs ROW <br />