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� i � <br /> s�saeaoo2o City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Deparfment <br /> Date Received Phone Contact for Permitting — <br /> 1 <br /> Owner's Name L�uG 4 I Owner Phone Number �3�7 <br /> Owner's Address � /`� r a Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS !—"�� � � , LOT# � <br /> SUBDIVISION PARCEL ID# 6• `� C���� �� lOd- �j I�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CON57R� ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION � BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK <br /> � ' j�, i C�. - <br /> BUILDING SIZE S� OOTAGE� HEIGHT � <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ J�, AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �l(! <br /> �PLUMBING $ � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I �/ /� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> SIGNA UREN J`/`•,n ,f� ROMP R� ��� �1G'LEJ1Lh /�C . <br /> v��1..�.!' <br /> Address L33535 License# �L' � t� �3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 CURRE� Y/N <br /> Address License# <br /> I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 I 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 I I 1 1 1 1 I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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,Construction Plans,Stormwater Plans w/Siit Fence inslalled, <br /> Sanitary Facilities&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 construdion. <br /> .i..l • • 1..1 • 1 { 1 1 f i i • • 1 1 i 1 1 1 • ' 1 1 i 1 1 1 1 • • i i 1 1 f i 1 1 • -- - <br /> Directions: <br /> Fill out application completely <br /> Owner&Conlractor sign back of'application;noiarized <br /> If over$2500,a Notice of Commencement is'required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Allomey(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />