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. 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> ' Building De artment <br /> Date Received � 2 � phone Contact for Pe mitting — _ I' <br /> --�-j �-1-i-fl"i- ` 9 Q E � J.� <br /> � - --- - ---- �I 77q y GeII��Y <br /> �Owners Name � �� r� Owner Phone Number �� 1— 1 � l�`� <br /> �Owners Address �o ( 7 � ���,\ /�''r�'e-� Owner Phone Number <br /> Fee Simple Titleholder Nama Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> g.IOB ADDRESS I�i �� ! 1�� t2� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (08TAINED FROM PROPERN TAX NOTICEJ <br /> WORK PROPOSED NEW coNSTR e ADD/ALT SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK� ���7�\��'` � �� S�� • � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � V\ <br /> `�� <br /> �BUILDING 5�. $ � VALUATION OF OTAL CONSTRUCTION � � <br /> �c�a.ov <br /> ,�. <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ F/11 !�°�G'�/��, <br /> �.1--��I�..r �G .-�[ {�g/yi,�i;�—. <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � + r `� �I � <br /> �_ <br /> OGAS Q ROOFING Q SPECIALTY � OTHER o� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA OYES NO �`6° 1��t�^ k <br /> 9°'S���, ����` <br /> ob��- k�' <br /> BUILDER COMP Y D� f <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y(N h�kQ�W��• <br /> 1� <br /> Address License# <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIST ED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> PLUMBER COMP Y <br /> SIGNATURE REGIST REO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP Y <br /> SIGNATURE REGIST RED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMP Y <br /> SIGNATURE REGIST RED Y I N FEE CURREA Y I N <br /> Address License# <br /> IIIIIIIIIIIIIIilEA911i1111091l91111171AE009EOBBlQIia � aelE111C91iBEA <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sel of ergy Forms;R-O-W Permit for new wnstruction, <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwaler Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subd visions/large projects <br /> GOMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all n w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT At[ach(2)sets of Engineered Plans. , <br /> ""PROPERTY SURVEY required for all NEW constructio . <br /> Directions: <br /> Fill out application wmpletely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencemant is requirad. (AIC upgrad over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A(C Fences(PI tlSurveylFootage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />