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� ' e�sasaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bulding Departmenl ' <br /> Date Received phone Contact for Permittin ��3 ���— — C 10l l7 <br /> Owner's Name C— /�/[�� �7 Owner Phone Number ;3s�- a.s�-�o�:�- <br /> OwneYs Address �(,i. � sa s�— Owner Phone Number <br /> Fee Simple TiUeholder Name /J/� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O � � � � vr �� /��� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINEU FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED NEW CONSTR ADDlALT 0 SIGN Q Q DEMOLISH <br /> e INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �Q XQJI� � � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING S �/1. VALUATION OF TOTAL CONSTRUCTION <br /> 7 <br /> QEIECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ •� ` � ( S� <br /> I I <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> • BUILDER COMPANY � Gl�l,Q7Q� � � <br /> SI6NATURE REGISTERED Y/ N � ��cuRrt Y/N <br /> Address �� � V� �� �l Llcense# �'�5��� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE RECISrErtm Y! N FEECURREI� Y!N <br /> Address License# <br /> PLUMBER ' COMPANY <br /> SIGNATURE tte�isrEttm Y/ N FEE CURREn Y/N I <br /> Address License� <br /> MECHANICAL COMPANY I <br /> SIGNATURE rtE�iSrErtm Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTEFim Y/ N �cuRa�n Y/N <br /> Address license# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days after submfttal date. Required onsite,ConsVuction Plans,Stormwater Plans w1 Silt Fence instalied, <br /> t Sanitary Facilitles&1 dumpster,Site Work Pertnit for subdivisionsAarge projeds <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,Construdian Plans,Slorm�+rater Plans w/Silt Fence installed, <br /> Sanitary Facil'�ies 8�dumpster.Site Work Pertnit Tor all new projects.All commercial requireme�ts must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruction. <br /> Dlrectlons:• <br /> Fill out appliration completely. <br /> Owner 8 Contractor sign back of appfication,notarized <br /> If over 52500,a Notice of Commencement is requfred. (A/C upgrades over 57500) <br /> " Agent(for the contracto�or Power of Attomey(for the owner)would be someone with notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMI7l1NG (Front of ApplicaGon Onty) <br /> Reraofs if shingles Sewers Service Upgrades NC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> � <br />