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813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> Buitding De artment <br /> Date Received Phone Contact for Pe itting , � � (� — � 7 <br /> Owners Name � �U%'v� N ' 7 '' Owner Phone Number <br /> Owners Address �5�. � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone fVumber <br /> Fee Simple Titleholder Address <br /> JOB ADDR�SS � ��" `� ' LOT# [� <br /> SUBDIVISION PARCEL IDl� <br /> (OBTAINED FROM PROPERN TAX N0T10E) <br /> WORK PROPOSED B NEW CONSfR e ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER f c�._ ' d 1 •i •►� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK ,fl i� ;,� (7Cl ��v� 1/' � S'� ` r —'��+�;�q., <br /> BUILDING SIZE SQ FOOTAGE Z HEIGHT � . <br /> QBUILDING $ VALUATION OF T TAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /r��j <br /> ��S � <br /> QMECHANICAL $ VALUATION OF ECHANICAL INSTALLATION <br /> QGAS ��� ROOFING Q SPECIALTY OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO <br /> . <br /> BUILDER �" ��`Ol'""� O o''",S�n COMPA Y i ' , i�p tt� . �i'; '1'. `7' . �^c.-t... <br /> SIGNATURE - RE�isTER L� N FEE CURRE� Y/N � <br /> �. �C�C:/� �Z I <br /> Address 'Z �r License# i-,• . <br /> ELECTRICIAN COMPA Y <br /> SIGNATURE REGISTE Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPA Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPA Y <br /> SIGNATURE REGISTE ED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPA Y <br /> SIGNATURE REGISTE ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illllllllllllllllllllllllllllllllllllllllltllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, -- <br /> Sanitary Facilities&1 dumpster;Site Work Perrnit for subdiv sionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety age,(1)set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requir d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all ne projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NE1N construction. <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 upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIfdG (Front of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />