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� - ` e�aaeo-0ozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Bufiding Department <br /> , � Date Reeefved � � I� Phone Contact for Permittin 7�Z — V � <br /> Owner's Name � e Owner Phone Number <br /> Owners Address {��L � ��h��l" Owner Phone Numher <br /> Fee Slmple Titleholder Name �t M Q � Owner Phone Number <br /> Fea Slmple Tltleholder Address <br /> JOBADDRESS CU �� ' LOT# � <br /> SUBDMSION PARCEL ID# <br /> (OBTAINED FROY PROPE(iTY TAX NOTiC� <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q 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 �� � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $F� /'y�� VALUATION OF TOTAL CONSTRUCTION <br /> LJ l�lJ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING E <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION J ��"' <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ; COMPANY F'LI-IA-�I SGYl r �IX�T l <br /> SI(iNATURE REGISTERED Y N FEE CURREA Y N <br /> Address Uq �� I�' License# �� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add►ess 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 FEE CURREA Y/N <br /> Address License it <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Pertnit for new construction, � <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faclilies&1 dumpster,Site Work Pertnit for subd'rvisions/large proJects <br /> COMMERCIAL Attach(2)comple[e sets of Building Plans pius a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after suhmittal date. Required onsite,Construction Plans,Storm�rater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY requfred for all NEW construction. <br /> Directlons:• <br /> Fill out application campletely. <br /> Owner 8 ConVactar sign back of application,notarized <br /> I(over 52500,a Nodee of Commencement Is required. (AIC upgredes over 57500) <br /> •• Agent(for the conVactor)or Power of Attamey(for the owner)would be someone with notarized letter from owner autharizing same <br /> OVER THE COUNTER PERMITTING (wpy of conVact required) I <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />