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F � <br /> �- • a��-�so-aozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Deparfinent <br /> Date Received —�7/,� <br /> Phone Contact for Permitting ) /"J <br /> � <br /> . � <br /> Owner's Name �C � � Owner Phone Number <br /> �0ners Add ss . Owner Phone Number <br /> .�.�-��� v. - <br /> ee Simple Titleholder Name Owner Phane Number <br /> Fee Simple TitleholderAddress <br /> JOB ADDRESS LOT# I( <br /> SUBDIVISION PARCELID# r O� `�(� (/^(J I <br /> (OBTAINED FROM PROPERTYTAX NOTIC� <br /> WORK PROPOSED B NEW CONSTR B ADDlALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � ' L <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> 5 � {IDQa <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ �o�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION rC ` <br /> �GAS Q ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERID Y/ N FEE CURRE� Y/N <br /> � <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addmss License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N �cuwt�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N F CURRE� Y/ <br /> Address 5Q � � -Q T License# � V <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllll <br /> RESIDENIIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set af Energy Fortns;R-O-W Pertnit for new canstruc8on, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Sill Fence installed, <br /> Sanitary Faciliiies&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permk for new construction. <br /> Minimum ten('10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Atfach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:' <br /> FII out applicafion completely. <br /> Owner&Contractor sign back of applicafion,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over�7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with nofarized letter from owner autharizing same <br /> OVER THE COUNTER PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIot/5urvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />