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a��-�ao-oo2o Cify of Zephyrhills Permit Application Fax 813-T80-0021 <br /> Building Department � <br /> Date Received Phone•Contact for Permittin — <br /> . <br /> Owner's Name �� �-2V\'n Owner Phone Number <br /> Owner's Address �'S 2Gt�-8t.c.�CJD �. • Owner Phone Number - <br /> Fee Simple Titleholder Name � • Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3� l� ��`- UE. LOT# � <br /> SUBDIVISION PARCEL ID# ��—�lD-a I—C�O�O ^ I S�P00--O( <br /> (OBTAINED FROM PROPERTY TAX NOTICE) . <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH <br /> �,,, INSTALL B REPAIR ' <br /> PROPOSED USE Q SFR [� COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK * Q FRAME , Q STEEL Q <br /> DESCRIPTION OF WORK �1� �'`�.V� (3 � <br /> BUILDING SIZE SQ FOOTAGE 3a�t�' HEIGHT <br /> QBUILDIfVG $ VALUATION OF TOTAL CONSTRUCTION . <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �.MECHANICAL $ �a� , VALUATION OF MECHANICAL INSTALLATION <br /> �v�� <br /> QGAS Q 'ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �` '`� ` <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/.N FEE CURRE� Y/N <br /> Address L'icense# <br /> ELECTRICIAN .,. COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y L N <br /> Address L(cense# <br /> PLUMBER COMPANY `� <br /> SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address .License# <br /> MECHANICAL - COMPANIf ��'� �C`C{� S� U�C�ES O� �(�SCD <br /> SIGNATURE REGISTERED Y,/ N , FEE CURRE� Y/N <br /> Addres� License# �C ��S�S <br /> OTHER , COMPANY- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address� � License# <br /> RESIDENTIAL Attach(2)Rlot•P,lans;(2)sets•of�Building'Plens;(1)set of EnergyPorms;R-0=W Permit for new construction, <br /> Minimum,ten:_(.1,0);working'days afte[.submittal date: Required onsite,Construction-Plans;Stortnwater Plans w/Silt Fence installed, <br /> � SaniEary FaciliUes&.1.dumpster Site Woric Permit for subdivislonsAarge projects � <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days'after submittal date. Required onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary FaciliGes&1 dumpster.Site Work Permit for all ne�iv projects:All commercial requirements must meet compllance <br /> SIGN PERMIT Attacfi"(2)"set§of Enginee[ed Flans.:.;;, �� � <br /> ""PROPERTY SURVEY reguired for all NEW conshucdon. <br /> Directlons: <br /> Fill out applicadon completely. <br /> Owner 8 Contractor sign back of applfcaUon,notarized <br /> If over�2500,a Notice of Commencement i�requlred. (AIC upgrades over�7500) <br /> " Agent(for ttie contraotor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of,Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Piot/SurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />