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ais-�so-Gnzo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��� � phone Contact for Permitting -- (/V <br /> Owner's Name �` �� I S Owner Phone Number p 1 J ^ ��� �`y `? <br /> Owner's Address �� �• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���C� I O�� �� �'e I�.��� � J�� LOT# � <br /> SUBDIVISION ,n ����✓+J[� PARCEL ID# u�— vG��Z(�(�J�o —Ol7�� '—v��� <br /> (OBTAINED FROM PROPER7V TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADDIALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK P/4'�'�T W �o�g S�� S`Ze <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ p�� � VALUATION OF TOTAL CONSTRUCTION ��OO <br /> �7 ` <br /> QELECTRICAL $ AMPSERVICE Q PROGRESS ENERGY Q W.R.E.C.� ��� � � <br /> �PLUMBING $ 1 �y,% / <br /> / / °�� ��1// !a' ") <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` �����_ e ' / <br /> � ' 'lc�V I <br /> QGAS - Q ROOFING Q SPECIALN 0 OTHER � �yw� �,�,,{/�� C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO �� �� C�j9` ` ��l'� <br /> 3 ��l Qii�-��-CS��G�`�,T <br /> SGINATURE � `1�c��A�� REOGSTPE ED ��Y/ N�~�rE�RE���n�N ��^������� <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N � <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIItllllllllllllllllllllllllllllllllllllllllllttllllllll <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 ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atlach(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 Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY required for all NEW construction. <br /> Directions:' <br /> Fill out applicalion complelely ' <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) I <br /> " Agent(for lhe conlrector)or Power of Attorney(for lhe owner)would be someone with notarized letter from owner aulhorizing same � <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlollSurvey/Footage) <br /> Driveways-Nol over Counter if on public roadways..needs ROW <br />