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� _ , • 81�-�s�o2o City of Zephyrhills Permit Application Fax-813-78D-0021 <br /> Building Department <br /> Date Received .21• I Phane Contact for Permittin �\� � �Z — � `�� <br /> Owner's Name � � �� Owner Phone Number C�� '7� ' a'� <br /> Owner's Address 3$�D2�'{ S�Ave, ti h� � Owner Phone Number <br /> ; <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tttleholder Address <br /> JOBADDRESS ��V • LOT� � <br /> SUBDIVISION �� PARCEL ID# +�"2-�Q"Z(' ��' �O <br /> (OBTAINED FROM PROPERTY TAX NOTICEJ <br /> WORK PROPOSED NEW CONSfR ADD/ALT � SIGN Q Q DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �/ � a a � <br /> BUILDING SIZE p�� SQ FOOTAGE HEIGHT � <br /> Q BUILDING S���Oa VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ n,/ � <br /> !/l � <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �' <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISriEDFLOORELEVATIONS � FLOODZONEAREA QYES NO <br /> BUILDER � I COMPANY � � <br /> SIONATURE REGISTERED N FEE CURRE N <br /> Address �Q�� �� 11 I.�� License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REClsr�xeo Y/ N �cuaaen Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTF�2m Y/ N �cuwtEr. Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGi5rErtEO Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuwtEn Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 f 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Petmit tor subdivlslons/large projects <br /> COMMERCIAL Attach(3)complete sets of Buitding Plans plus a Life Safety Page;(1)set of�Energy Fortns.R-0-W Pertnit for new construction. <br /> Minimum ten(10)worlting days after submittal date. Requi�ed ansite,Construction Plans,Stortnwater Plarrs 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 of Engineered Plans. <br /> •'•'PROPERTY SURVEY required for all NEW constiuction. <br /> DlrecUons:• � <br /> Fill out application completety. <br /> Owner&Contrador sign back of application,notarized <br /> If over b2500,a NoGce of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the awner)woWd be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Frord of Application Onty) <br /> Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-NOt over Counter if on public roadways..needs ROW <br />