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eia-�saoozo City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> • •Date Received �, / phone Contact for Permitting -- <br /> -f"I-1'I-i-T'i' - � <br /> Owner's Name � <br /> �/) Owner Phone Number <br /> Owner's Address �7�7�� IVI.'/ QD('j (,{. Owner Phone Number O�J -S�D-z3gg <br /> Fee Slmple Titleholder Name Owner Phone Numher <br /> Fee Simple Titleholder Address <br /> JOBADDRESS 3� �3� �"��t ��rS (�(,� LOTN � <br /> SUBDNISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK d FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �S�I� S I� �X (` <br /> BUILDING SIZE D'X/� S�FOOTAGE �z� HEIGHT �� .Z.�� <br /> BUILDING $/_�/(�/1 VALUATION OF TOTAL CONSTRUCTION <br /> lQ l/t/ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��n <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 ? / <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � O�PANY 6✓'EQ/,(//L�/ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllllllllltlllllllltlllllllil <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construc6on, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Conslruction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-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 Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PEHMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> Fill out application completely. <br />' Owner&Contractor sign back of appliraGon,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> L <br />