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\ s�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �Building Department <br /> ,- � � <br /> �aate Receieed .� �r � ! n <br /> Phone Contact for Permitting d �.3 7� -- ,s31 <br /> ` / Owner's Mame ( o'S ��° �� �S -�1 I!Z° I,d2 Owner Phone Mumber <br /> Owrner's Address LI.{r � , � Owmer Phone Rlumber <br /> ; <br /> Fee Sianple Titieholder fdame I Owner Phone Idumber <br /> i <br /> � i <br /> Fee Simple Titieholder Address <br /> n ; <br /> JOB ADDRESS � � 1 Cl` �Z� i Z ����j �L �OT# �� <br /> i <br /> SUBDIbISIOId PARCEL ID# <br /> i (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGM Q Q DEMOLISH <br /> B INSTALL REPAIR <br /> PROP05ED USE Q SFR � COMM 0 OTHER <br /> TXPE OF COMSTltUCTlOfd Q BLOCK Q FRAME � STEEL Q _wrS�' <br /> ���CRIPTIORIOFVHORK �n�ld�e �xiSf%F�i IDc.�i �c� 1 Vl Q� Q�d( �t/'as� c`a�r.s `�Cd� � <br /> � <br /> BIDILDIRIG SIZE a-g x a o SQ FOOTAGE I �D HEIGHT <br /> BUILDING $,a ��. U VALUATION OF TOTAL CONSTRUCTION <br /> i <br /> ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> QPLUMBING $ � � <br /> � ��� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> '' . �. ��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �((//��� <br /> i <br /> � I <br /> I <br /> BIDILDER � COMPANY � <br /> `� w , l u i r� <br /> A UR �" � � REGISTERED Y N FEE CURRE� Y N <br /> �IGfd T E / <br /> i <br /> Address � License# C�C. f�"S � <br /> � <br /> I �LEC7'RICIAfd � COMPANY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address � License# <br /> PLUAflBER , COMIPA(dY <br /> SIGIdATURE i REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address License# <br /> M�CHAMICAL i COMPAWY <br />' SIGRIATURE � REGISTERED Y I N FEE CURRE� Y/N <br /> Address I License# <br /> i <br /> OTFlER COMPAMY <br /> SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ,Address Cicense# <br /> RESIDERITIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woticing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Pemiit for subdivisions/large projects <br /> COMIAAERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(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 Faciflties&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGId PERflAIT Attach(2)sets of Engineered Plans. <br /> °•••PROPERTY SURVEY required for all NEW construction. <br /> Directions: ' � � �� � — <br /> Fill out application completely. � �� 1� <br /> Owner&Contractor sign back of application,nota�ized j � <br /> If over 52500,a Rlotice of Commencement fs required. (AIC upgrades oeer�7500) <br /> i <br /> •" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> ONER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Eences(PIot/Survey/Footage) <br /> 9riveways-Not over Counter if on public roadways..needs ROW <br />