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5 <br /> �� <br /> � 813-780-0020 City of Zephyrhills Permit Application FaX-s��-�aaooz� ` '', <br /> - . Building Department <br /> i / �-7 �y ' <br /> Date Received , ?/�-- �Ji phone Contact for Permittln (� /— C/ <br /> � / I �+ <br /> Owner's Name � !/`V V Owner Phone Number <br /> Owner's Address � /Y� Owner Phone Number <br /> Fee Simple Tltieholder NC me� f b�`� Owner Phone Number <br /> Fee Slmple Tltleholder Address �� <br /> JOBADDRESS c� � � / ��V � �l I_�% ! $ �toT# � <br /> SUBDIVISION PARCEL IDM I -G�{O" �{`���r�(J`-V�Q G <br /> (OBTAINED FROM PROPERTY TA7(NOTiC� � <br /> WORK PROPOSED B NSTALLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> � <br /> PROPOSED USE Q SFR � OMM Q OTHER ' <br /> TYPE OF CONSTRUCTION BLOCK �RAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> �P � ' <br /> BUILDING SIZE SQ FOOTAGE OU HEIGNT � <br /> QBUILDING $� Vz/ ,� VALUATION OF TOTAL CONSTRUCTION <br /> l9 <br /> Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> � ���������� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING � SPECIALTY � OTHER v /✓ � G <br /> FINISHED FLOOR ELEVATIONS FLOOD ZON QYES NO yI I �r]/(/ i <br /> � {� 1 <br /> ! <br /> BUI LDER �pp►�y O�r/''' <br /> SIGNATURE � � REGISTERED Y N FEE CURRE� Y/N <br /> Address ,d Z O • �j�f�(/ License# C.l.. � �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �--� <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I I 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construcUon, <br /> Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&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 ot Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum tan(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater 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 PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Dvections:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />