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813-780-0020 City of Zephyrhills ermit Application Fax-813-780-0021 <br /> '" Building D partment <br /> Date Received Phone Contact for P rmitting �� O� ° ���� <br /> Owner's Name /�� � ��T���� Owner Phone Number g/.�— ��" �� <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���/ � � D LOT# � <br /> ) n �1 � <br /> SUBDIVISION • PARCEL ID �r�� �/�lJ/ O'����/D ���8 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR�DD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �G���� �- �P- /�C�e � o J"/f?��" 07�Z�LT/!�/�� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF OTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �/� <br /> � J <br /> v <br /> OMECHANICAL $ r��� A'D� VALUATION OF ECHANICAL INSTALLATION � 1S <br /> J �d <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO <br /> BUILDER COMP NY <br /> SIGNATURE REGISTE ED Y/ N FEE CURREt� Y/N <br /> Address License# <br /> ELECTRICIAN COMP NY <br /> SIGNATURE REGIS ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP NY <br /> SIGPIATURE REGIST ED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL ���qy/� ^ COMP NY �H��S ��A�/IA�C�S � C�L°' <br /> SIGNATURE C�C"'���` REGIST RED Y/ N FEE CURRE� Y/N <br /> Address � ! �—°� ���l S License# �/�����T� <br /> OTHER COMP NY <br /> SIGNATURE REGIST RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E ergy Forms;R-O-W Permit fo�new construction, <br /> I _ Minimum ten(10)working days after submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitfes 81 dumpster;Site Work Permit for subdi isionsAarge 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 submittal date. Requi ed onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all n projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constructlo . <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 32500,a Notice of Commencement(s required. ,(A/C upgrade over 57500) <br /> "" Agent(for the contractor)or Power of Attomey�(fo�;tfie awne�f:wauld'be s meone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING �' :'<(F�ont of.Application;O,n�y), '_ i <br /> Reroofs if shingles Sewers � Ser`vice Upgratles �AlC "'=.,:FenCes(PI t/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs�ROiN"�"'`; <br />