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1 <br /> i` �' s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> ` Date Received '��1�( phone Contact for Permitting_ �l„J 7�a- D a� <br /> —errrrllT - - 1 � � � � — <br /> Ownets Name (/(„Q T Owner Phone Number �� '�����T <br /> Owner's Address ��7� �' Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address AJ <br /> JOB ADDRESS �`(V �v /LC.C�� LOT# � <br /> SUBDIVISION PARCEL ID# I�r d� �f��� Q� • Q�� <br /> (OBTAINED FROM PROPERTV TA%NOTICE� <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> � r <br /> DESCRIPTION OF WORK � <br /> BUILDING SI2E SQ FOOTAGE HEIGHT <br /> �BUILDING $ ` ��^ � VALUATION OF TOTAL CONSTRUCTION <br /> J (/ <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 ' ���� <br /> �GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER OMPANY S <br /> SIGNATURE � I REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address �.r"'� License ti (,r(,C <br /> ELECTRICIAN COMPANY <br /> I 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 License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 1 1 1 1'1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 i I 1 <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 a(ler submittal date. Required onsite,ConsWclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for suhdivisionsllarge projecls <br /> COMMERCIAL Altach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Pertnit for new consiruction. <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&1 dumpster,Site Work Permil for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)se[s of Engineered Plans. <br /> "•'PROPERN SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice oi Commencement is required. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same ' <br /> OVER THE COUNTER PERMITTING (copy of contracl required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurveylFoo[age) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />