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a�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent . <br /> � -�- . <br /> Date Recelved ' Phone Contact for Permittln <br /> � <br /> Owrner's Name � lr !�l'1 Owner Phone Number ��- �( tS� � <br /> Owner's Address - b� ��✓I�� '"✓� Owner-Phone Number <br /> Fee Sfmple Titleholder Name Owner Phone Number - <br /> Fee Simple Titleholder Address a <br /> JOBADDRESS � �70 �� C�J� LOT# � <br /> SUBDIVISION PARCEL ID# � �-� - Q�(OD-���,( 7� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED , B � NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH - <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK �� �'' <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT , <br /> QBUILDING $ � � VALUATION'OF�TOTAL CONSTRGCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � °���� C PANY -' -�, •, . � ;�'f_ <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� ,Y/N . <br /> Addresa Lfcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMP,ANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED Y;/ N Fee Cu�te� � Y/N <br /> Address ' License# I <br /> OTHER � COMPANY . <br /> SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N-. . <br /> Address �+• - License# <br /> RESIDENTIAC Attach(2)_Piot Plans;.(2)sets•of_Building Plans;(1)set of Energy=Fortns;R-0=W Perm�it for'new.construction, <br /> Minimum ten.(10)working days.after.submittal date.•Required onsite;Construction Plans;Stormwater�Plans w/Silt Fence installed, <br /> Sanitary Facilities&�,1-,dumpster,Site Work=Rermit for subdivisionsAarge projects � `-`�� ' <br /> COMMERCIAL Attach(3)complete sets of Buildin"g�Plaris plus a L'ife Safety Page;(1)set of Energy Fonns.R-O-W Permit for new construction. <br /> Min(mum ten(10)working days'after submlttal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides&1 dumpster.Site Work Permit for all,new proJeots:All commercial requlrements must meet compilance <br /> SIGN PERMIT Attacfi'(2)"sets of Engtneered;P.lans:.. -; � � <br /> ""PROPERTY SURVEY reguired for.all NEW construction. <br /> Dlrectlons: <br /> Ffli out applicatlon completely. <br /> Owner 8 Contractor sign back of appltcation,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for tFie contractor)or Power of Pittomey(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />