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a��-�ao-oozo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> , • � �� Building Department <br /> Date Reeeived Phone Contact for Pertnittln � "� —L� �L <br /> Owners Name Owner Phone Number <br /> Owner's Address • '"1 ��\ ��1` Owner Phone Number I <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tideholder Address , <br /> JOBADDRESS � � O '� `�1�.- '1 � �'�1`l.� LOT# � <br />' SUBDIVISION �� PARCEL ID# � <br /> (OBTAINED FROM PROPERTY TA7C NOTiC� <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALC 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 �`P�� R ., � <br /> BUILDING SIZE �� SQ FOOTAGE i 53 HEIGFIT � <br /> QBUILDING $ � �\U' VALUATION OF TOTAL CONSTRUCTION <br /> �.'l.� ; <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � e`)O� <br /> ��' <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION „ ` <br /> � �v <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER Q� � <br /> FINISHED FLOOR ELEV ONS FLOOD ZONE AREA QYES NO � I W � <br /> BUILDER PANY ��� t` D h+i� � <br /> SIGNATURE REGISTERED Y/ N FEE CO REA Y/N <br /> Addr _C� l ` `����ense# � <br /> ELE CIAN COMPANY �`` � ' �� <br /> SIG TURE REGISTERED Y! N �e CURfi�n Y/N <br /> Address � � �1�-`�-�-��4`"�cense# �+4�� � <br />' PLUMBER COMPANY 1 � Q A. ^ � <br /> SIGNATURE REGISTERED Y! N FEECURREA Y/N <br />� Addres ' J License# <br /> MECH AL COMPANY ' \\ <br /> SIGNATURE REGISTERED Y/ N e cuwtEn Y/N <br /> Address �. `C�� License# ^� b <br /> OTMER � COMPANY ' <br /> SIGNATURE ' REGISTERE� Y! N FEE CURRE� ti Y/N <br /> Address License# <br /> 1111111111,1•It1t1111111111111111111111111111111111t1.11llllt1.11111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buildirig Plans;(1)set of Energy Forms;R-O-W Pertn(t for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsi[e,'Construc[ion Plans,Stortnwater Plans w/Silt Fence installed, <br /> - Sanitary Facilities 8 1 dumpster,Site.Woric Pertnit tor subdivisionsAarge projects � <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Lite Safety Page;(1)set of Energy Farms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Senitary Facilities 8 1 dumpster.Site Work Permit.tor all new projects.All commercial requirements must meet compflance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERN SURVEY required for all NEW constructlon. � <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 CoMractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500) , <br /> •" Agent(for the contractor)or Power of Attorney(tor the owner)would be someone with notarized letter from.owner authorizing same <br /> OVER THE COUNTER PERMITIING.- (copy of contract required) " , _ �, ' ' <br /> Rerodfs if shingles Sewers � Service Upgrades A/C Fences(PIoUSurvey/Footage) . • , � <br /> Driveways-Not over Counter iF on puWic roa�ways..needs ROW ' �' � _ � " � <br /> .. " � .. .. .. ' �f� . :. ,.0. . ..... . ..... . .. . .. . � . <br />