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� a�saeo-oo2o City of Zephyrhills ermit Application Fax 813-780-0021 <br /> Building De artment . <br /> Date Received � - <br /> Phone Contact for Pe mittin — <br /> Owner's Name �GL� Owner Phone Number �0 3 '��Z—�3�� <br /> Owner's Addres� '/COl � /�- d� g��s� � �� 7� <br /> ! � t� _ d w /�. l �0wner Phone Number <br /> Fee Simple Tltleholder.Name � Owner Phone Numbar <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS U �[2 � � . LOT# � <br /> SUBDIVISION PARCEL ID# ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED wEW CONSTR . ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE SFR [] COMM OTHER � c,o <br /> TYPE OF CONSTRUCTION Q BLOCK � Q FRAM STEEL Q <br /> DESCRIPTION OF WORK �� 7 � /D � �I /l 1.2 ��C �`j 'S� S/Q� <br /> BUILDING SIZE �"" • � � SQ FOOTAGE HEIGHT <br /> i <br /> QBUILDING $ �' ' VALUATION OF TOTAL CONSTRUCTION <br /> �0� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. , <br /> QPLUMBING $ <br /> G'�.'ra"`�''� <br /> OMECHANICAL $ VALUATION OF ECHANICAL IfVSTALLATION (Q �3_ 2-Z6 _/S j I Z <br /> v v <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FIIVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPAf�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> ELECTRICIAN COM PAt�LY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ucense# <br /> PLUM�ER COMP <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPAI�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N . <br /> Addresa License# <br /> OTHER COMP I Y <br /> SIGNATURE REGISTE�o Y/ N . FEE CURREA Y/N. <br /> i <br /> Address License# <br /> -,RE3IDENTIAL Attach(2)FIot.Plans;.(2)sets of Building'Plans;(1)set of En�rgyForms;R-O-W Pertnit for new construction, <br /> ', Minimum.ten(10).worliing days after.subrtiittal date. Requfretl onsite,Construction Plans;Stortnwater Plans w/Silt Fence installed, <br /> ' Sani4ary Facilities&1.dumpste.r,Site Work�Permit for subdiVistons/large projects <br /> COfVIMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> , Minirtium ten(10)wo�lcing days after submittal date. Required onsite,ConstrucUon�Plans,Stortnwater Plans w/Silt Fence tnstalled, � -- ' <br /> Santtary FaciliUes 8 1 dumpster.Site Wark Permit for ail new projects.All commerciai requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans..� <br /> ""PROPERTY SURVEY required for all NEW construction: <br /> Directlons: <br /> Fill aut applicaUon completely. <br /> Owner&Contractar sign back of applicatfon,notarized . <br /> If over�2500,a Notice of Commencement is required. (AIC upgrades ver a7500) <br /> " Agent(for tFie contractor)or Power of Attomey(for the owner)would be someane with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs lf shingles Sewers Service Upgrades A1C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />