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e�s-�aaoo2o City of Zephyrhills Permit Application Fax 813-780-0021 <br /> Building Department <br /> Date Recelved �'_..`~.~.:' ' � �' _ ' '�� <br /> � Phone Contact for l?e�mittin <br /> Owner's Name WOJ+• i � � . .;`. , ` :~�I , • <br /> /✓ ` Z J (p n OM l,��v�, �� �.`��nrner Phone Numtier <br /> Owner's Address c `/'t e c.r�Ad C ,Owner Phone Number <br /> Fee Simple Tltleholder.Name Owner Phone Number � <br /> � <br /> Fee Simple Titleholder Address `" <br /> JOB ADDRESS �I N/n P G{�'e Z•l `j /� [ � f �� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> a=�-6�a� _ -o o�^,op�� - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED 'NEW CONS7R ADD/ALT SIGN Q Q DEMOLISH <br /> e INSTALL B _ 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 l) O U 1 �/ I�^ � t n �M ��.�� <br /> BUILDINGSI2E SQ.FOOTAGE� HEIGHT <br /> -..�•�,w.... <br /> QBUILDING $ , VALUATION OF�TOTAL CONSTRUCI'ION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> s <br /> ;� � �� Sf <br /> �CHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS 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 License# _ - - " <br /> ELECTRICIAN COMPAldY <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 l.icense# � � <br /> r - P� <br /> MECHANICAL COMP�WY /1 � G � � <br /> SIGNATURE REGISTERED Y:! N FEE CURRE�- Y/-N � <br /> Address License# C 7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N . FeE CUR�n Y/:N <br /> Address " L'icense# <br /> RESIDENTIAL -Attach(2)Plot Plans;(2)sets.ofBuiliJing"Plan's;(1)set of�Energy�Forms;R-O-W Permit for`new.construction, <br /> Minimum,ten�(�10):working days,aftec�submiftal date:�Requfred�onsite,Construction-Plans'r Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles,.&=Ldumpster,Site�Work�Rertnit for subdivisionsAarge projects ��� <br /> COMMERCIAL Attach(3)complete sefs'of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> -�- Minimum ten(10)working days after submittal date. Required onsite,ConsWcUon Plans,Stortnwater Plans w/Silt Fence installed, - �- <br /> ' Sanitary Facilides&1 dumpster.Site Work Permit for all new projects..Ail commercial.requlrements must meet comp0ance <br /> SIGN PERMIT Attach"(2)sets of Engineered Plans... .. � - <br /> "'"PROPERTY SURVEY required..for all NEW construction. <br /> Directlons: <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC up�rades over ST500) <br /> '" Agent(for the contractor)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/Survey/Footage) <br /> Driveways-Not over Caunter if on public roadways..needs ROW <br />