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813-780-0020 City of Zephyrhills ermit Application Fax-813760-0021 , <br /> „_ r Building D partment <br /> : Date Received phone ContactforPertnittin <br /> ` Owners Name � Owner Phone Number � � � /O <br /> r� p � I <br /> Owners Address f 1 V � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS LOT# � <br /> SUBDIVISION r � PARCEL I ' O^ `DD�v <br /> (OBTAINED FROM PROPERN TA%NOTICE) <br /> WORK PROPOSED e NEW CoNSfR e ADD/ALT � 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 /> DESCRIP110N OF WORK U / LPi` � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> �ELECTRICAL $ 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> / <br /> QPLUMBING $ :i ���� � <br /> �MECHANICAL $ � � VALUATION OF ECHANICALINSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA DYES NO � � <br /> BUILDER COMP NY <br /> SIGNATURE \ REGISTE ED Y/ N FEE CURREIi Y/N <br /> Address I ,�'� License# <br /> ELECTRICIAN ` COMP NY (/I�j' � '� <br /> SIGNATURE I REGIST ED �/ N FEE CURREN Y/N <br /> Address � (/r U License# � � <br /> PLUMBER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL �� COMP NY ���r��ti �I� �GCG..,,f-� <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# (� (/ <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of E ergy Fortns;R-O-W Pertnit for new consWCtion, <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subd'visions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safet Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submirial date. Requi ed onsite,ConsWCtion Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for ail n w projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ali NEW constructio . <br /> 1��1� <br /> Directions:• <br /> Fitl out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrade over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner au[horizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI USurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />