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s�aasaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> :. Buflding Department <br /> # �:.�,�' <br /> Date Recefved phone Contact for Permiltln <br /> Trrrrl-rr <br /> Owner's Name r 7h /, Owner Phone Number <br /> Owner's Address 3���D �'o x v L Owner Phone Number • <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address ,v <br /> JOB ADDRESS ��� �/ �O p i�/� � �� I l l 3��J�L LOT# � I <br /> SUBDIVISION - I`UC� OQ��S PARCEL ID# �Zb���''�1���O `��� <br /> (OBTAINED FROM PROPERTYTAX NOTIC� <br /> WORK PR�POSED e NEW CONSTR B ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME Q STEEL Q <br /> � . � <br /> DESCRIP710N OF WORK�~ <br /> /� / <br /> BUIL�ING SIZE �� SQ FOOTAGE lJ ; HEIGHT <br /> QBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PR�RESS ENERGY Q W.R.E.C. ���� <br /> b O <br /> OPLUMBING $ ik_ `b ` �1�3� � 0 <br /> �Vr l w�J1� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � Ca�"r'' <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � '�t5� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> � <br /> i � <br /> . SIGNATURE D�CI � �o���/ , �ROISP�o Y/ N 'FEECURRE� Y N��� <br />, Address � � i� �T ���� License# � � <br /> I ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERm Y/ N FEECURREA Y/N <br /> Address Licensa# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SICaNATURE Re�IS7EReo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, I <br />' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br />� Sanitary Facilities&1 dumps[er,Site Work Permit tor su6divisionsllarge projects <br /> COMMERCIAL Atiach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Eoergy Fortns.R-O-W Permft for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanftary Facilitles&1 dumpster Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER'fY SURVEY required for all NEW canstruction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8.Contractor sign back of application,notarized <br /> If over 52500,e Notice ot Commencement is required. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OYER THE COUNTER PERMITIING (Front of Applicat(on Only) <br /> Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />