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e�a-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> , , <br /> Date Received ��^��j, phone Contact for Permittin J <br /> Owner's Name V S (it„ Owner Phone Number ,,J� <br /> Ownar's Addresa � �� � - Owner Phona Number <br /> Fee Slmple Tltieholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Address <br /> JOB ADDRESS � O O LOT# � <br /> .�� <br /> SUBDIVISION l.,d d S PARCEL ID# 1 L,� ' 1"' � V'vo/-l.�J'� �G3Ju <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Y��O �` , ✓�_�" E' i �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �UILDING $ ���'� VALUATION OF TOTAL CONSTRUCTION I <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �E%" <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br />� QGAS Q ROOFING Q SPECIALTY Q OTHER . ^ , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I ! v <br /> l �- <br /> BUILDER COMPANY TT'iTVYG�yJ�{�, � ���� <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address M � ,- (� � ���1�License# �l�2�(j���i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REOISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REaIS7ERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51GNATURE REGiS7Eaeo Y/ N FEECUw�n Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add►esa Llcense# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111t1t1111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructlon, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facllltles&1 dumpster;Site Work Parmit for subdlvislons/large proJects <br /> COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Fartns.R•O•W Permit for new construction. <br /> Minimum ten(10)working days after submfttel date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fance installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercfal requirements must meet wmpllance <br /> SIGN PERMIT Attach(2)sets of Engfneered Plans. <br /> "`•PROPERTY SURVEY required for all NEW canstructfon. <br /> Directlons:• <br /> Fill out applicatlon completely. <br /> Owner&Contrector sign back of appllcation,notarized I <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgradas over 57500) <br /> '• Agent(far the contrector)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> COUNTER PERMITTING (Front of Applfcatlon Only) <br /> oofs If shing es Sewers Servlce Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> Drlveways-Not over Counter If on public roedways..needs ROW <br />