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���-!au-��1� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Recetved � �'� �� phone Contact for Permitting � 02�� _ ��-So� <br /> )wner's Name �SS��� �� ,�'� Owner Phone Number '�70"Sa,�a <br /> )wner's Address � 5 3 �Y� UT . /X � �` S���,3�f� Owner Phone Number <br /> �ee Simpie Titleholder Name Owner Phone Number <br /> °ee Simple Titleholder Address <br /> IOB ADDRESS ��J S3 a 3 Y/ , 2�a�'l �wrr�l s (. , 3 3 Sy a- LOT# � <br /> iUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL e REPAIR <br />� �ROPOSED USE Q SFR Q COMM. 0 OTHER <br /> IYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> )ESCRIPTION OF WORK �U�T" <br /> I 3UILDING S12E SQ FOOTAGE t 1'F{ HEIGHT �� <br /> QBUILDING $ H Cjfl VALUATION OF TOTAL CONSTRUCTION <br /> t b�/ <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> I QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> °INISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 3UILDER COMPANY N�Y'►�Q�,tJVLQ,� <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> eLECTRICIAN COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 'LUMBER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address License#' - <br /> �ECHANICAL COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1THER COMPANY <br /> �IGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ;ESIDENTIAL 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 Facilides&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> ;OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Mintmum ten(10)working days after submittal date. Required onsfte,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciNties&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> �IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW constniction. , <br /> �irections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 32500,a Notice of Commencament is required. (A/C upgrades over a7500) <br /> ' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> iVER THE COUNTER PERMITTING:.,.- _>:(Front,of Application Only) <br /> :eroofs if shingles Sewers = Service Upgrades;A/C; Fences(Plot/Survey/Footage) <br /> ;i , ;:: r��:�•��: � ' , '• �: . . - ,. :... . �� ;- ' ,� <br /> Driveways-Not over Counter if on publio'roadways::needs ROW � - ' � � �. <br /> - . , . .. . , � . � , r, <br />