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�' � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building epartment <br /> Date Received Phone Contact for P rmittin 3 13 _ SS <br /> �-r-IT <br /> Owners Name Owner Phone Number � � <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tideholder Address <br /> JOB ADDRESS C �J LOT# � <br /> SUBDIVISION 1� PARCEL ID — \�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONS7R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK v '� � � �' �U.� 1 y"" <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E C <br /> QPLUMBING $ '� L/��n� <br /> � �� � �� <br /> QMECHANICAL $ ^ VALUATION OF ECHANICAL INSTALLATION <br /> 'V <br /> QGAS Q ROOFING Q SPECIAL Q OTHER ��J.�v <br /> � �/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER COMP NY <br /> SIGNATURE REGIST ED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIST Eo Y/ N Fee cuarteN Y/N <br /> Address License# <br /> PLUMBER COMP NY <br /> SIGNATURE REGIST ED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL 1 � - A COMP NY ���� �' `�C.. �LS <br /> SIGNATURE ����� REGIST ED Y I N FEE CURREh Y/N <br /> Address � License# � ' <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Fortns;R-O-W Perm�t for new construction, <br /> Minimum ten(10)working days after submirial date Requi d onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdi isions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Page,(t)set of Energy Forms R-O-W Permit for new construction <br /> Minimum ten(10)working days after submittal date. Requi d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all ne projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqwred for all NEW constructio <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contractor sign back of apphcation,notarized <br /> If over 52500,a Nodce of Commencement is required. (AIC upgrade over 57500) <br /> " Agenl(for the contractor)or Power of Attomey(for the owner)would be s eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />