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� � si�-�ao-oo2o City of Zephyrhills Permit Application FaX-a��-�so-ooz� � <br /> Building Department <br /> Date Received 7 "L �5 Phone Contact for Permitting �3�o F tJ l/(� – � <br /> Owners Name I Owner Phone Number �2 7 2�� <br /> Owners Address �lJ l S t /'(VC I Owner Phone Number c��P 3" �"t�� <br /> Fee Simple Titleholder Name I Owner Phone Number <br /> I <br /> Fee Sfmple Titleholder Address I <br /> JOB ADDRESS O� � C7 IIZ� ( �S � JJ� � LOT# � <br /> SUBDIVISION PARC ILIDt� (J��L ��( G�D U� <br /> (OBTAINED FROM PROPERTY TAX NO71C� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 $IGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME 0 STEEL Q <br /> I <br /> DESCRIPTiON OF WORK cI—�S( R <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SER I CE Q PROGRESS ENERGY Q W.R.E.C. <br /> I �PLUMBING ��j' �p� ,QrD ��� <br /> [� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � `� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER ` <br /> FINISHED FLOOR ELEVATIONS FLOOi ZONE AREA QYES NO <br /> BUILDER •CIOMPANY• • (/�ON •�O N•�M• 7�N <br /> SIGNATURE REGlsret�o Y/ N �cua�n Y/N <br /> Address License# <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RECIS�RF� Y/ N �cuw�n Y/N <br /> Address I License# <br /> PLUMBER % {__ � COMPANY D Al �C/VM �/yI A'� <br /> SIGNATURE --y - - REG�sTEaEn N FEE cuRREn Y/N <br /> i [J <br /> Address GGf�/L� License� � —` 2 <br /> � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7EReo Y/ N FEE CURREf� Y/N <br /> Address License# <br /> � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N �cURREn Y/N <br /> Address I 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 I 1 1 1 1 III 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 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 Pertnk for new construction, <br /> Minimum ten(10)working days after submittal date.I Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)wmplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)worlcing days after submittal date.I Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permd f Ir 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 /> .�. <br /> Directlons: • • • • • • <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(far the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fen i s(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW i <br /> � <br /> i <br />