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s�saso-oazo � City of Zephyrhills Permit Application Fax-813-780•ooz� <br /> Building Department <br /> pate Received Phone Contact far Permitting <br /> . <br />, Owner's Name ��'Q'� ��.�Jr �l U�1�tl�� Owner Phone Nurrtber ".•�-��'S' <br /> �f,��-���j ��6,,,rs' ��� Owner Phone Number <br /> 4wner's Acldress — — <br /> Fee Simple 7itleholder Name � � � � Owner Phone Number _ <br /> I <br />�� _ . . <br />'I Fee Simple Titleholder Address � <br /> I JOB ADDRESS ��� � ����� vl LOT# [� <br />' SUBDIVtS10F! �� � PARCEL ID# 1 <br /> i • (OB7AINEp FROM PRQPERTY TAX MOTIGE) <br /> '� WQRK PROPOSEO e NEW CONSTR 8 ADDtA�7 [� SIGN [�] Q DEMOLtSH <br /> INSTALL REPAIR <br /> IPROPOSED USE [� SFR [� COMM. � 07HER <br /> 7YPE OF CONBTRUCTION° [� BLOCK Q FRAME � S7EEL Q <br /> i� DESCRIPTtOTi OF WdRK � <br /> i <br /> ; BUILDING SIZE � � SQ FOOTAGE�� HEfGHT <br /> � � t <br /> QBUlLDkNG � VALUATION OF TOTAL CC}NSTRUCTtON <br /> QELECTRlCAL �^� AMP SERVICE Q PR�GRESS ENERGY Q W.i2.E.C. <br /> QPLUMBING $ _ , <br /> QMECHi4NICAL ri � VAI.UATION OF MECHANICAL INSTALLATION � <br /> � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER . <br /> FINISHED FLOOR ELEVATIONS ,� � FLOOD ZONE AREA �,�,JYES NQ <br /> BUlLDER CQMPANY <br /> SIGNATURE REGISTERED Y P N FEE CURRE� Y!N <br /> Address License# � �—��� <br /> ELEGTRICIAN CQMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I Addzes� - License# �— � <br /> � PLUMBER � COMPANY <br /> S1GNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address license# �— � <br /> MECHANICAL COMPANY <br /> SIGNA7URE RE�isreR�� Y/ N FEE CURRE� Y/N <br /> Address �—...�—... l.icense# � � <br /> OTHER .�--'°'�� � COMPANY .fn�� �� v p{^ <br /> 51GNA7URE � REGI57ERED Y/ N FEE CURRE� Y/N <br /> Address t License# �r�r,�� �-���!�.� � <br /> RESIDEIdT1AL 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,Con'struction Plans,Starmwater Plans w!Sitt Fence insta�led, <br /> Sanitary Faciltties&1 dumpster;Site Work Permit for subdivisiansAarge projects <br /> COMMERCIAL. Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consbuction. � <br /> Minimum ten{1d)working days�after submittat date. Required onsite,Construc8on Plans,Stormwater Plans w!SIIt Fence(nstalled, <br /> Sanitary Facilitles&1 dumpster.Slte Wartc Petmit for aii�ew pro)ects.Aii commercial requlrements must meet compifance <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> '�'*PR4PERTY SURVEY required for ali NEW constructtan. <br /> Directlans: <br /> Fill ouk appllcation completefy. � <br /> Owner&Contractor sign back af application,natarfzed � <br /> lf ovAr 52500.a Notice of CammenaemeM is reqwlred. (A!C upgrades over�75Q4j <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with na'ta�ized letter�rom awner auEharizfng same <br /> OVER 7HE COUNTER PERMITTING (Front af Application Only) <br /> 4eroofs tf shingies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drivewayrs-Not over Counter If on public madways..needs ROW <br /> . , <br />