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�� � a�aaso-ooso City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Recelved �� �( 13 "�C)"�` �a 1 <br /> _�_i_i_��_��_� PhoneContactiorPerm�ttT /b v <br /> Owner's�Name V �WKQrV� � (,L -Q !� Owner Phone Number �� ' J '(� <br /> Owners Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS W� r LOT# � <br /> SUBDIVISION � �p S � / PARCEL ID# ( �� (0 � �I � �( ° �4l <br /> (OBTAINED FROM PROPERTY TA%NOTCE) <br /> WORK PROPOSED e NEW CoNSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> .�� �DESCRIPTION OF WORK �� II �n � �n�� <br /> BUILDING SIZE �`J {J� SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ q�� f/U VALUATION OF TOTAL CONSTRUCTION <br /> V <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��(b�T`1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' � J�Q}rt,`,�'�t[��• / <br /> QGAS Q ROOFING Q SPECIALTY � OTHER v//////n'l �G C�D P`(� tl" �� <br /> FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA �YES NO �/r 2���� n�"'" � <br /> �.:/ ` <br /> BUILDER _ � � COMPANY <br /> r <br /> SIGNATURE REGISTERED Y/ N FEE CUR n Y/N <br /> Address / License# ��� '� ��j <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED 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 />� 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 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 1 1 <br />' RESIDENTIAL Attach(2)'Piot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster;Site Work Pertnit for subdivisionsllarge projecls <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum len(10)urorking days after submittal date. Required onsite,Consiructian Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpsler.Site Work Pertnit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets oi Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: - , <br /> Fill out application completety. <br /> Owner&Contractor sign back of application,notarized <br /> Ii over�2500,a Notice of Commencement ls required. (A/C upgrades over$7500) <br /> " Agent(for lhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> i OVER THE COUNTER PERMIT7ING (Front of Application Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) i <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />