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i <br /> I , . <br /> I ° <br /> 813-780-0020 City of Zephyrhills ermit Application Fax-813-780.0021 <br /> Building D partment <br /> Date Received Phone Contact for P rtnitting �!3 ��2 - (��2� <br /> Owners Name Owner Phone Number <br /> Owners Address � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��Z LI �� � LOT# � <br /> SUBDIVISION PARCEL ID <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw coNSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK ��~��� �l�'II�6E- Z. oO si�'�+ <br /> BUILDING SIZE SQ FOOTAGE 7 HEIGHT � <br /> QBUILDING $ (�- �r�a`p VALUATION OF OTAL CONSTRUCTION <br /> J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ���� <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION � • <br /> QGAS Q ROOFING � SPECIAL � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> -i i..i ' •�- '.�- '.fi- p <br /> BUILDER � � COMP NY � �.L 1 UU �i �" �-' <br /> SIGNATU REGIST RED Y/1�I. FEE CURRE Y/N v <br /> Address -y—� l l�l �h� License# `+L.v c.1 � �t' <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIST rt� Y/ N FEE CURREA 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 CURRE� Y/N <br /> Address License# <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of ergy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,ConsWCtion Plans,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary Fadlities&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 aRer submittal dale. Requi ed onsite,ConsWCtion Plans,Slortnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster.Site Work Permit for all n w projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructio . <br /> +:-.�.�.-.-�I-�I+HI+1.-���.��.-.-........ .-.�.�..�..-r.��.-.-�1-+.F.F�- <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out applicaGon completely <br /> Owner&Contractor sign back of applicafion,notarized <br /> If over SZ500,a NoGce of Commencement is required. (A/C upgrade over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)woultl be s meone with notarized letter(rom owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PI VSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />