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� " � 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Recelved Phon ContactforPermittin U �Z 1� � <br /> Owner's Name �� Owner Phone Number O��J "�$a— ���0 <br /> Owner's Address � {d Z � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � ( -� o� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTV TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br />� TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK \ �,.J <br /> BUILDING SIZE SQ FOOTA E� HEIGHT � <br /> �BUILDING $ � ALUATION OF TOTAL CONSTRUCTION <br /> � ' <br />' QELECTRICAL $ MP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ q`� <br /> OMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION � `� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVA NS FLOOD ZONE AREA QYES NO <br /> BUILDER - COMPANY Q, Vl, I� <br /> SIGNATURE REGISTERED Y N FEECURREA / <br /> Address � l Il,��i� ���`-Q,t License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> ' SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIitllllllt'11I1111111111 <br /> RESIDENTIAL Ariach(2)Plot Plans;(2)sets of Building P ns;(1)set of Energy Forms;R-O-W Permi[for new construction, <br /> Minimum ten(10)working days after submi I date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans lus a Life Safety Page;(1)set o(Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after subm i date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets o(Engineered Plans. <br /> ""PROPER7Y SURVEY required for all W construction. <br /> Directiqns: <br /> Fill out application completely. I <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Cammencement Is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the o er)wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applirati n Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Foolage) <br /> Driveways-Not over Counter if on public roadways..need ROW <br />