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a�a-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> Building Department <br /> ' Date Recelved I � � <br /> ✓ / ��� Phone Contact for Permittin I � <br /> �'i-fT77 <br /> Owner's Name ����^� �(6fi Owner Phone Number ��7''S✓. � �� <br /> Owner's Address Owner Phone Number <br /> Fee Slmple Titleholder Nama Owner Phone Numher <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS '�!I ` �E � `I✓ � �� LOT A � <br /> SUBDIVISION PARCEL IDtf <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK F ME 0 STEEL Q <br /> DESCRIP710N OF WORK 1 5��-i� . ��rs 0� ��Q �i ��-�'f E� � �2� <br /> i r� �y r`t `�` ��'° �., <br /> BUILDING SIZE ��/ !�. v SQ FOOTAGE � vV(S HEIGHT �� n� <br /> Z �� '2 <br /> QBUILDING $ �!'f VALUATION OF TOTAL CONSTRUCTION '� ��e �� � <br /> � c A,Q�' <br /> QELECTRICAL $ AMPSERVICE Q PROGR NERGY Q W.R.E.C. S�� <br /> p n� ��,���� ��.5�G� <br /> OPLUMBING $ �JC.'e-V1��'�/�-` `"— lO�� <br /> ��- i � sQ.�-p �o,� y <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALIATION � <br /> OGAS � ROOFING Q SPECIALTY � OTHER -�1� � �^ � � e0(,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �� '�`�Y��� ��� <br /> � „Q�,, <br /> �._ <br /> _ �� <br /> BUILDER COMPANY �.�(9-� <br /> SIGNATURE REGI3TERED Y/ N FEE CURREA Y/N D <br /> Address ,- Llcense# <br /> ELECTRICIAN O �' COMPANY �(�N���� �/� � <br /> SIGNATURE REGISTERFD Y/ FEE CURRE� Y I N <br /> Address � A'X,L� l `7� License# � ��5� /J� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISrEREO Y I N F�CuRREn Y/N <br /> Address License# <br /> OTHER COMPANY � `��I 1 � �I r- <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address �� � k ���i� ��� � LJcense# �J l Z�l� ��j <br /> 111111111 111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ien(10)working days after submittal date. Requlred onsite,Constructlon Plans,Stormwater Plans wJ Silt Fence installed, <br /> Sanitary Facilities 8,1 dumpster;Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(3)compiete sets ot Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWctlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Siit Fence installetl, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> Fill out application completely. <br /> Owner&Contrador sign back of applicatlon,notarized <br /> If over 5z500,a Notice of Commencement is requlred. (A/C upgradas over E7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTiNG (Front of ApplicaUon Onty) <br />� Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW i <br />