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� ' a�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ' i <br /> DateReceived PhoneContactforPermittin ��3 ��� — ��lot(7 <br /> Owners Name � /�i/�� �7 OwnerPhone Number ,���' �Jr���a�3" <br /> Owner's Address �(��. � s�s�— Owner Phone Number <br /> Fee Simple TiUeholder Name /�/� Owner Phone Number <br /> Fee Simple TlUeholder Address <br /> JOB ADDRESS � �7 �/� " l �r L� Y'�S� <br /> SUBOIVISION PARCEL ID# <br /> (OBTAINED FROIN PROPERTY TAX NO710E� <br /> WORK PROPOSED e NEW CONSTFi e ADDlALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �Q �ClL�� � � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C., �� <br /> QPLUMBING $ �� I^ � <br /> � � <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . .. <br /> • BUILDER COMPANY I C <br /> S16NAll1RE REGISTERED Y/ N �cuRrten Y/N <br /> Address �� ti/ !� �3 License# (/ � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE cuRREn Y/tJ <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE RECisr� Y/ N �cuw�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE r�cisrEaEO Y! N FEECURREP Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIII111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consWdion, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stortnwater Plans wl Silt Fence installed, <br /> � Sanitary Facilities&�dumpster,Site Work Permit for subdivisionsAarge projects � <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)waridng days after submitlal date. Required onsile,Consttuction Plans,Storrrnrater Plarrs w/Silt Fence installed, <br /> Sanitary Facil'�ies 81 dumpsier.Site Work Pertnit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br />�I . ""PROPERTY SURVEY required for all NEW construction. <br /> Dfrections:• • • • • • • • • • <br /> Fill out application completely. <br /> Owner&Contractor sign 6ack of applicalion,notarized <br /> If over�25D0,a Nottce of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(far the ovmer)would be someone with notarized letter from owner aulhorizing same <br /> i OVER THE COUNTER PERMITTiNG (Front of Applicatian Onty) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIaUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadurays..needs ROW <br />