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813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> -- • Building D partment <br /> J Date Received ���� 'L phone Contact for P rmitting '�� ��� 7 <br /> Owner's Name � M L . Owner Phone Number ()/��7%��J1�7 <br /> Owner's Address + l (y ����� r Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � 1/ T/ � LOT# � <br /> SUBDIVISION PARCEL ID � <br /> (OBTAINED FROM PRO RTY T OTICE) <br /> WORK PROPOSED NEW CONST(t ADD/ALT 0 SIGN � Q DEMOLISH <br /> � � INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK AC Ch.Q Y �� Seaii� l (DU� �'lS�fC.�ra°y <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> OBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ �Z� VALUATION OF ECHANICAL INSTALLATION i r/� � <br /> �J ` ��� � <br /> �GAS Q ROOFING Q SPECIAL � OTHER ��f� <br /> v <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA �YES NO <br /> BUILDER COMP Y <br /> SIGNATURE REGIST ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMP Y <br /> SIGNATURE REGIST ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP Y <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL , � COMP Y Q7(� ��J�i � V i e e <br /> SIGNATURE REGiST ED �- � Y N FEE CURREA Y/N <br /> Address � O 7 �- /at/4— T- License# �i�' 1 /7 O' <br /> OTHER COMP Y <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> I 1 1 1 I I 1 1 1 1 1 I 1 I 1 I I 1 1 1 1 1 1 1 1 I 1 I 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 I 1 I 1 1 I 1 t I 1 1 I 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fecilities$1 dumpster;Site Work Permit for subd isions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittai date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br />, Sanitary Facilities 8 1 dumpster Site Work Permit for ell n projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTV SURVEY required for all NEW constructio . <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. (AIC upgrade over$7500) <br /> " Agent(for ihe contrector)or Power of Attorney(for the owner)would be s meone 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(PI tlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />� <br />