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s�saao-oozo City of Zephyrhills Permit Application Fau-813-780-0021 <br /> ' Building Department <br /> Date Received phane Contact for Pertnitting <br /> ��-r-i Tr'T-�-r <br /> Owner's Name � � Owner Phone Number �(� "'" � <br /> Owner's Address l � . �/�/I Owner Phone Number �� "' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS V� l �jT � 1� I S �L. 3 S � �oT# � <br /> SUBDIVISION PARCEL ID# 1 � � — ' � � � O��l v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CoNSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK YV LV`) ��� ��S � \N�Q ( <br /> BUILDING IZE SQ POOTAGE� HEIGHT � <br /> BUILDING $ ' �r^� VALUATION OF TOTAL CONSTRUCTION /)�� <br /> C/ �O V�. <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. �` <br /> QPLUMBING $ � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f ��V <br /> l <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ( <br /> BUILDER f �cOIN ANY S l�l. <br /> SIGNATURE � EGISTERED Y 1 N FEE CURRE� Y/N <br /> Address �-1 � �r� (, �� � �MZ License# ` ' S7`i�-i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMP/UJY <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 I 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 t 1 1 1 I 1 1 I 1 I 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 l I 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&�dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)comptete sets of Building Plans plus a Life Safety Page;(1)sel of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 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 /> Directions:• <br /> Fill out application completely. � <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Comr�encement is required. (AIC upgredes O�er$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII"fING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) I 1_ � <br /> Driveways-Not over Counter if on public roadways..needs ROW �v �V\`�I� ��r✓-1��`-'� <br />