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"� ' 813-780-0020 City of Zephyrhills ermit Application Fax-813780-0021 <br /> �� Bulding D artment <br /> Date Recelved Phone Contact for Pe itting — <br /> �. � 1 1 t 1 1 1 1 1 1 1 1 I � <br /> � <br /> , Owners Name �� {� Owner Phone Number <br /> Owners Address Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# �� <br /> SUBDMSION PARCEL ID# � <br /> (OBTAINEO FROM PROPERiYTAX NOTILE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLJSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK R AC^� �I�I�(�- �J �� UI � V' �7N��� ��°+' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> • �BUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> QELECTRICAL $ ��� AMP SERVICE � � PROGRESS ENERGY Q W.R.E.C. <br /> i��la�c 3 d <br /> QPLUMBING $ �^�j <br /> 1 � .0 <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIAL 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO � <br /> BUILDER COMP <br /> SIGNATURE r�GiS Y/ N �E cuRr�n Y/N <br /> Address License# <br /> ELECTRICIAN � / �i'�� COMP Y � V'I�Ie � I'�CA1 S '��.5 <'G <br /> SIGNATURE r�ci rx�o Y/ N �cuw�n Y f N <br /> Address /��S"SG � �.� �' IG�a) ����� License# `�O�$ '( <br /> PLUMBER COMP Y <br /> SIGNATURE aECls REO Y/ N FEE CURREA Y/N <br /> qddress License# <br /> MECHANICAL COMP Y <br /> SIGNATURE aECI Y/ N F�CUw�n Y/N <br /> Address License# <br /> . OTHER COM <br /> SIGNATURE r�cls r�o Y/ N �cuaaen Y/N <br /> qddress License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillltllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms:R-O-W Pertnit for new consWction, <br /> Minimum ten(10)warking days after submittal date. Requ red onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster,Site Work Permit for sub ivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safe Page;(7)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Req red onsite,Construdion Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 81 dumpster.Site Work Pertnft 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 consVucti . <br /> Directions: <br /> Fill out appliration completely. <br /> Owner&ConVactor sign back of application,notarrzed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrad over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fronl of Applicalion Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(P ot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />