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i <br /> �� _ � <br /> � <br /> 813-780-0D20 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �i , � � Building Department <br /> Date Received � <br /> Phone Contact for Permitting <br /> Owner's Name ��t t �d I Owner Phone Number <br /> Owner's Address �1�LEl� � T. Owner Phone Number <br /> Fee Simple Titleholder Name �Q. I Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS S �W�� I r � ����S LOT# � <br /> SUBDIVISION S\ lV LY � PAICELID# �0 � <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COI M 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q F�ME � STEEL Q <br /> DESCRIP770N OF WORK R � I Tp �rt R' � W��1 } ���'" '��- . <br /> BUILDING SIZE SQ FOOTAGE L� HEIGHT � <br /> �BUILDING $(7 .�7"� VALUA710N OF TOTAL CONSTRUCTION <br /> "I Lr 1 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �'bJ� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS � ROOFING Q SP�CIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOIOD ZONE AREA QYES NO <br /> { <br /> .i— .—. .�.. � <br /> BUILDER �COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br /> Address I License# <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> MECHANICAL f COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address I License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIItllllllllllllll <br /> RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Plans;(1}set of Energy Forms;R-O-W Permit for new construction, � <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit`for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a LFfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal dat�. Required onsite,Conslruction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit�for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> .1. <br /> Directions.• • • • • • • • • • • • • • • • • • • • • • � I <br /> Fill out application completely � <br /> Owner&Contrector sign back of application,notarized � <br /> If over$2500,a Notice of Commencement Is required. (AIC i pgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)wiuld be someone 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(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />