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a�saso-oozo City of Zephyrhills Permit Application Fax 813-780-0021�� <br /> ,, • Building Department ��(\/ ��� <br /> l)/�r�, 17 n`" I <br /> �(� j/tJ \' <br /> Date Recetved "--'-^-• i � � <br /> Phone.Contact for Permittin - �^ � <br /> � Owner's Name •�-�i�-j' �+'�'L/ Owner Phone Number )- g-�� � <br /> � Owner's Address �J � � v / Owner Phone Number / <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address " <br /> a JOB ADDRESS � 1 �� 1����'��J LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN' Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR �] COMM Q OTHER <br /> TYPE OF CONSTf'tUCTlO� Q BLOCK ' Q FRAME Q STEEL Q <br /> DE3CRIPTION OF WORK C�crY%Ch.e�� .,��� a�x �3 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING �( $ p �-� -�- � <br /> p� O d p VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ' _� �C� C� <br /> � cJ J <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _ / ��"CpMpq� � <br /> SIGNATURE� GG���~-' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE y REGISTERED Y/ N FEE CURREA 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! N Fee Cur�te� Y/�N . <br /> Address ' License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address License# <br /> RESIDENTIAL Attach(2).Plof Plans;(2)sets�of Building'Pians;(1)set of Energy�Form's;R-O-W Pertnit for new construction, <br /> Minimum�ten(:10);working days after_subrriittal date. Required onsite,ConstrucUon�Plans;Stormwater Plans w/Sflt Fence instatled, <br /> Sanitary FadltUes.&,1.dumpster,Site Work•Permit for subd(VislonsAarge pro)ects <br /> COMMERCIAL Attach(3)complete sefs of Buildiog Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for neuv construcUon. <br /> Mtnimum ten(10)working days-after submittal date. Required onsite,ConstrucHon Plans,Stormwater Plans w/Silt Fence installed, - <br /> Sanitary Facilitles&1.dumpster.Site,Work Permit for all new projects.All commercial requlrements must meet compilance <br /> SIGN PERMIT AttacFi(2)sets of Engineered Plans.,�, <br /> '""'PROPERTY SURVEY required for all NEW construction. <br /> Dlrections: <br /> Ffll out applicatlon completely. ' <br /> Owner&Contractor sign back of applfcaUon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (AfC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for tfie owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII'iING- -, (Front of Applicatlon Only)�.,..r_�: ., , . � .�1. � � - -- - �� <br /> Reroofs if shingles Sewers Service.Upgrades A/C.- Fences�:(PIoUSurvey/Footage) ., • � • . . <br /> '� . :�.� � . . <br /> Driveways-Not over Counter If on public roadways,:needs ROW. - ,� ' � , : ry . : _� <br />