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: � 813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> 4' � -1 <br /> Building D partment <br /> • • Date Recelved Phone Contact for P ittin U�� �U� — ��� <br /> OwnersName Q� �� � OwnerPhoneNumber ����07'/"'��/5 <br /> Owners Address" / � f! 4�/q�1 /� Owner Phone Number <br /> Fee Simpte Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �R D� I��/�' I /7 LOT# �SCO <br /> SUBDIVISION (J�13'y� /���/��G PARCELID <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CoNSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK O e 1 S 1�\ I <br /> BUILDING SIZE � a� � S�FOOTAGE I HEIGHT � <br /> BUILDING $ )D00 �(7 VALUATION OF OTAL CONSTRUCTION <br /> / <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��� <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � `� <br /> QGAS Q ROOFING Q SPECIAL Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER ��j ��OMP NY wI�L;O S%��..GG�O^-� <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address � �0 f s � � � • License# ��vS7�p a <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURREA Y/N <br /> Address License# <br /> tllllllllllllllilllllllllllllltllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Fortns;R-0-W Pertnit for new conslruction, <br /> Minimum ten(10)working days after submittal date. Requ ed onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnit for sub visions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(t)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requ red onsite,Construction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilities 8 1 dumpster.Sile Work Pertnit for all n w projecLs.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Pians. <br /> ""PROPERTY SURVEY required for all NEW constructio . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrad s over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be s meone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PI t/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />