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J <br /> e���saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> 1 <br /> Owner's Name 'O�rxr,{er Phone Number �3�r' y�GC7 <br /> Owners Address (/ � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS GI 't'� G � S T �' „ ��//s � LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ; WORK PROPOSED � NEW CONSiR e ADDIALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER ' <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK G'� �/ S S � G��u�'1 O UT 2.s �r3/� f� ln C/pj� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILOING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> , QPLUM8ING $ � _ j�(� <br /> �'IA€CHANICAL $ n��� VALUATION OF MECHANICAL INSTALLA710N <br /> 1 `�` <br /> �L <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <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 CURREn Y/N <br /> Address License# <br /> MECHANICAL COMPANY G f/` C6vlv/�/b��✓� �Una S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Address lnr; License# �6� � <br /> � OTHER COMPANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , Address License# <br />' Illllllllllllltllllllllllllllllllllllllllllllllllllllllllttllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> ' Minimum ten(10)working days after su6mittal date. Required ansite,Construction Plans,Stortnwater Plans w/Siit Fence installed, <br />� ', Sanitary Facilities&1 dumpster,Site Work Permit for suhdivisionsAarge projects <br /> il i COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0.W Permit far new consVuctian. <br /> Minimum ten('10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/S1t Fence installed, <br /> � Sanitary Facilitles&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 construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back oT application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC 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 /> OVER THE COUNTER PERMITTING (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 />