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' _ _,`_, <br /> 813-78a0020 City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> , f Date Received Phone ConWct for Pertnitting — <br /> OwnersName Y �� l� OwnerPhoneNumber g�3-�g3-��a <br /> Owners Address ��� I 1� J� Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS ��� S� LOT# C� <br /> SUBDIVISION PARCEL IQtF <br /> (OBTAINED FROM PROPERTYTAX NOTICEj <br /> WORK PROPOSED B NEW CONSTR e 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 Q STEEL Q <br /> DESCRIPTION OF WORK l� — �'� '`-'� ��a"� ' `^" " <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> I QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �,1�� <br /> �MECHANICAL $, 1 1 O VALUATION OF MECHANICAL INSTALLATION �, U <br /> ` C -� �� � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � In <br /> I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ,S/ <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y!N <br /> Address License# <br /> MECHANIC OMP Y �1 1—� �1 r � �I�Q'j'l 15�1 <br /> SIGNATUR - eeisTertEo Y/ N FEE CURRE� Y/N <br /> Address �� �- s�a+e Ro 5 License# <br />� OTHER COMPANY <br /> SIGNATURE REGISTERFD N FEE CURRE� Y/N <br /> Address License# � 1 ' O� <br /> s � e � � � � � � � � e � � � � � � � � ii � � � � � � � � � � � i � � � � i � � � � i � � � � � � � � � � � � � � � ii � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit 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 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 Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster Site Work Permit 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 construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contrac[or sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) � <br /> " Agent(for the contractor)or Power of Attomey(far the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact required) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />