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a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received s � Phone Contact for Permltting LS�� �oa _��`� <br /> Owner's Name Owner Phane Number �����O O ' ��y <br /> Owner's Address ��1 � C� ���'�� Owner Phone Number � � <br /> Fee 8imple 7itleholder Name �� � Qwner Phone Number � � <br /> Fee 5imple Titleholder Address <br /> JOB ADDRE$S �� /�� ��a ���' ��`���` LOT# C—� <br /> SUBbIVISION �— � PARCEL ID# � t�C� �I Q��� f �f�� ���� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRQPOSED e NEW CONSTR� AODlALT C� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PRQPOSED t1SE Q SFR Q GOMM 0 OTHEf2 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��l�d'7.1 e � l�O� � f !J" AI � </� �G= L�� � � �3/tl �T� <br /> BUiLqING SIZE ��� SQ FOOTAGE�� HEIGH7 �, � <br /> �BUtLdING I$ � VALUATION OF TQTAL CONSTRUCTION <br /> � <br /> �E�ECTRiCAL �$ �� AMP SERVICE � PROGRESS ENERGY � W.Ft.E.G. <br /> � <br /> QPLUMBlNG � � <br /> �MECHAiVICAL $ �� gI � VA�.UATION OF MECHANICAL IN3TALLATtON <br /> ll� <br /> QGAS Q ROOFING Q SPEC{ALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �^ FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �r �^ "'— License# � —� <br /> ELECTRICI,AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � �� <br /> PLUMBER GOMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� � <br /> ,....„ <br /> MECHANIGAi. G�� � � COMPANY ��S /�i�J��C�7r' �G. �t� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��.....,,` ,,. l��... ....,,. .._ � <br /> I� � � ✓�� j License# �17 w�J����� <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I.icense# � � <br /> RESIDENTtAL Attach{2}Plot Pians;(2}sets of Building Pians;(1}set of Energy Forms;R-C}-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 Facifi@es&1 dumpster;Site Work Petrr�it for subdivisions/targ�projects---_ _--- --- -- —- ---�_�__� �_______ <br /> COMMERCIAL Attach(3)complete sets ofi Building Plans ptus a Life 8afety Page;(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 /> 8anitary Facilities�1 dumpster.Site Work Pe�rn�t for all new projects.All comrrtercial requirements must meet compEiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"'PRQPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. � , . '; ,r . <br /> Owner&Contractor sign back of application,notarized , , <br /> If over$2500,a Notice of Commenaement is required. (A/C upgrades over$7500) � � � <br /> +x �y . <br /> Agent(for the cantractor}or Powe�ot Attomey{for the awner}would'b�;someone with notarized tetter from owner authorizing��same '-_.� , , _ <br /> . , , . <br /> OVER THE COUNTER PERMITTING (Front of Application Only) ° � .- ,-,,.,, .., .,� x, _ <br /> Reraofs if shingles Sewers Service Upgrades�AIG�-�� Fences(PIoUSurvey/Footage) ' � _ , � _ � � ; �, <br /> Driveways-Not over Counter if:on public roadways..needs;ROW ' . �- � � . ', <br /> - .., �. . � <br />