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. � 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> Building D partment <br /> ' Date Received <br /> Tr��_�� Phone Contact for P rmitting -- <br /> �.` 1�n IT"1 <br /> Owner's Name }�(� �L �1� Owner Phone Number CJ 1 J� 1���tl� <br /> Owner's Address o Ou,r l� 33� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � D (,LV � 3� � LOT H � <br /> SUBDIVISION PARCELID# ��~���1 'v�f��O�D"(Q��Q�Z� <br /> (OBTAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED � NEW CoNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STE <br /> DESCRIPTION OF WORK T�C �,�' K.1.Y 1 <br /> BUILDING SIZE SO FOOTAGE HEIGHT � <br /> TTrTTrTTrTI"ITTI'TTTI"ITTrT TI"ITT�TrTTrTTrTTrTTr <br /> QBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. /� <br /> QPLUMBING $ �� ( <br /> ,� r� <br /> QMECHANICAL $�. � VALUATION OF ECHANICAL INSTALLATION <br /> C� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ��` <br /> � J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES ✓ NO �'/`�'' <br /> � <br /> �..-r�..-.-..-..�..�..-r�...rF:-F.:�-.--r�..-r..-r�7-:rir{-:-' •--ri.:r�FFF:.^:�-i-��:..FG.-r�...-...-�..-r.--r� <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPA Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N <br /> Address License q <br /> ELECTRICIAN COMPA Y <br /> SIGNATURE REGISTE ED Y I N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPA Y � <br /> SIGNATURE REGISTE ED Y J N FEE CURRE� Y/N <br /> Address License k <br /> MECHANICAL COMPA Y ��� �11` <br /> SIGNATURE � REGISTE ED Y/ N FEE CURREA Y/N <br /> Address � � Vl, � � License N Y V 1�l„f I �Z <br /> OTHER COMPA Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new cons[ruction, <br /> Minimum ten(10)working days after submittal date. Requir onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdiv ionsJlarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requir onsite,ConsVUCtion Plans,Stormwater Pians 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 required for ail NEW construction. <br /> �1--F�I-.FI.-F�1--FI.-1-�-4-F4-1-d-•1-.i-f-�F�1-.�1-.FHI-.F�1-.� 1.-�1-.F�I-.�1-�f-1-{.i-f..f..�1--�1--F�1..�1-.F�1.-�1-.F� <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (q/C upgrades ver$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be so 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(PIoV urvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />