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���-,a�-���� Gity of Zephyrhills Permit Application Fax-813-780-0021 <br /> , • Building Department L��� <br /> � J <br /> Date Recelved Phone Contact for Permitttn — <br /> Dwner's Name �%/� Ol� � Owner Phone Number ����� � <br /> Owner's Address � / ' �L° Owner Phone Number <br /> Fee Simple Titlaholdar Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �.3� / � r� LOT# � <br /> SUBDIVISION PARCELID# �O�l9��Ov�� l�G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) . <br /> WORK PROPOSED B NEW CONSTR B 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 0 STEEL Q <br /> DESCRIPTION OF WORK G (i� �OT�O/I .7 Jl°�°/ .�/'`Y� �� G'(� �1�7i7°/ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ ,J�}�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ ����� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> °INISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 3UILDER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> eLECTRICIAN COMPANY <br /> ;IGNATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# <br /> 'LUMBER COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �ECHANICAL COMPANY /-��'%G S ��L t //�('/ <br /> �IGNATURE REGISTERED Y/ N FEE URRE� N <br /> Address License# <br /> ITHER COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> :ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary FacilfUes&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page__(1)set of Energy Forms.R-O-W Permit for new construcUon_ <br /> - Minimum ten(10)working days'after submittal date. Required onsite,ConsVucdon Plans,Stortnwater Plans w!Silt Fence installed,� ��� <br /> Sanitary Facilities 8 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 ail NEW construction. <br /> irections: <br /> Fil)out application completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> if over 52500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(fo�°ttie,owner)would,be someone with notarized letter from owner authorizing same <br /> VER THE COUNTER PERMI7TING (Front of�Application Only) _ � <br /> eroofs if shingles Sewers Service:Upgrades A/C Fences(Plot/Survey/Faotage) <br /> Driveways-Not over Counter if on public roadways::rieeds ROW <br />