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a�a-�saoozo City of Zephyrhills Permit Application Fax-813-780-0027 <br /> ' Building Department <br /> Date Recelved Phone Contact for Pertnitting O� �,-- �ga'� <br /> '17�" � <br /> Owner's Name Owner Phone Num6er d�v <br /> Owner's Address WL3 � /' Owner Phone Num6er <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS �7 3 3 0'✓l LOT# ���T'� <br /> SUBDIVISION PARCELID# ��� �S' a�• ��9�' ��L�a' 7� <br /> (OeTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> B INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I a '-� 7 � Of� � S I� / O3 '�./`Y' ^ <br /> BUILDING SIZE �—� SQ FOOTAGE HEIGHT.� 1_�v� <br /> \y `�l� <br /> OBUILDING $ p0 T <br /> I,a �, VALUATION OF TOTAL CONSTRUCTION _._ <br /> '�---- <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q (ri.E c•---"-'"� <br /> ,�'"" � �, <br /> �PLUMBING $ � � <br /> 0 MECHANICAL $ ' VALUATION OF MECHANICAL INSTALLATION _ �� <br /> �� <br /> �J <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �f! <br /> ��,.. <br /> BUILDER �� �OMPANY �� � ���' <br /> SIGNATURE REGISTERED Y/ N FEE CUR n Y/N <br /> Address (/ License# C« �J o/ <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RE�isrEa�o Y/ N �cuaaEn Y/N <br /> Address License# <br /> PLUMBER COMPANY �- � <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y 1 N <br /> Address License'# <br /> MECHANICAL COMPANY <br /> SIGNANRE 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 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 1 1 1 1 1 1 1 1 1 1 I 1 1 t 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcGon, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,-Construction Plans,Stormwater Plans w1 Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects ' , <br /> COMMERCIAL 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 daje. Requlred 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 Attach(2)sets of Engineered Plans. ' <br /> _ •••'PROPERTY SURVEY required for all NEW construction. - <br /> Diractlons:• - , ' , , <br /> ;� Fill out apptication completely. ' <br /> Owner&ConVactor sign hack of application,notarized ' <br /> r If over.$2500,a NoBce of Commencement is required. (AfC upgrades over 57500) - „ ` <br /> Agent(for tFSe,contractor)or Powenof Attomey(for Jhe owner)would be someone with notarized letter from owner authorizing same , , <br /> OVER THE COUNTER PERMIITING (Front of Applicallon Only) , _ . <br /> Reroofs if shingles" Sewers ; Service Upgrades NC Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on puhlic roadways..needs ROW <br />