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t's�saeao�o City of Zephyrhills;'ermit Application Fax-813-780-0021 <br /> .9uilding DepaAment <br /> Date Received Phone Contact for Pertnitting <br /> Owners Name � '� � ����d �a. Owner Phone Number S�t3- �S"-�oa a <br /> Owners Address �6 � ��� Owner Phone Number <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> Fee Simple Tideholder Address <br /> JOB ADDRESS S�� [ � LOT# � <br /> SUBDIVISION PARCEL ID# / '� ���—a�I D"� l.�w'Ol� <br /> (OBiA1NED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CoN57R e ADD/ALT � SIGN Q 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 Lf7�'IJN4/ � O�� l�C/y�T-� t+�/�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q'PLUMBING $ /_�r �x <br /> (Q�� V <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �" i i i 5 i 1 1 7 1 1 1 1 7 i 6 i i i 9 3 i i 1 0 1 FFI i—i 6-1 <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER ` ��/�/ ���(J��� COMPANY W C C� /�/Y�/N ��� �y�� cI[� <br /> SIGNATURE �����E/[� "��/ REGISTERED Y N FE CURRE� Y/N �Ns�6c< <d�� �+l� <br /> Address CJt�OS� � i License# 'r l=bY'N�(p <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 /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge 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 date. Required onsile,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERN SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely <br /> Owner&ConVactor sign back of apptication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500� <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized lette;fmm owner authorizing same <br /> OVER THE COUNTER PERMITfING (Front of ApplicaGon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />