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81&780-0020 City of Zephyrhills Permit Application Fax�13-780-0021 <br /> Building Departmeni <br /> � Date Received phone Contact for Permitting <br /> Owners Name � � L � Owner Phone Number � <br /> Fl 3�+a�+ <br /> Owners Address �� �� ~h 1/'� � �wner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number ' <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S��S I� S� .��I LOT# � <br /> SUBDIVISION PARCELID# I I-ac�-a �- oo i�°"�1`I�� — �� <br /> (OBTAINEO FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL R <br /> PROPOSED USE 0 SFR Q COMM Q OTHER _ " <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � �� <br /> DESCRIPTiONOFWORK r��Ubd- LLS ,/L C� A � L r�.i kl. '�iA C F" <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ �'7 VALUATION OF TOTAL CONSTRUCTION <br /> 4 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �9 f <br /> "l ', <br /> T ^ <br /> FINISH�ED FLOOR ELEVATION� ROOFING � FLOOD ZONE A�REA OTMEQyES���NOO 1 O U �Y ��� <br />� BUILDER COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEECURRE� Y!N <br /> Address License# I <br /> ELECTRICIAN COMPANY <br /> SIGNAIURE REGISTERED Y/ N FEE CURREf. Y/N <br /> Address ' License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTFRED Y/ N FEE CURREt� Y/N <br /> Address License# <br />' MECHANICAL COMPANY <br /> SIGNAIURE REGISTERED Y/ N FEE CURRE� Y/N <br />� Address License# <br /> II ���77) <br /> OTHER �� � COMPANY //�, C�'1 S U � Co I ,� <br /> SIGNATURE REGISTERED N FEE CURRE� /N <br /> Address 111 �1 - 0. r����S�3��icense# Cc�.I3a745Z� <br /> 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 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 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new consWction, <br /> Minimum ten(10)woriting days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projec[s <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days aRer submdtal date. Required onsite,Construcfion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ali commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construc[ion. <br /> Directions:• <br /> Fill out application completeiy. <br /> Owner 8 Cantractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the ovmer)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 /> I <br />