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4, , " <br /> }� aisasaoozo City of Zephyrhills Permit Application Fax-813-780-0027 <br /> + ' Building DepaRment <br /> Date Received ���f Gj Phone Contact for Pertnitting % 5 <br /> Owners Name (� V } Owner Phone Number `�r,�j' ( 3' <br /> Owners Address a — Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOBADDRESS � ' 3 LOT�' � <br /> SUBDIVISION � � PARCEL ID# � - � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL � . <br /> DESCRIPTION OF WORK = _ � " � - � = � ,�. J l � /� <br /> o��l��a c� a� a�oati�N�3 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ��� / ��'S^2 <br /> f-rrTTrT <br /> �BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ���J��"\°� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION \:/ �'�/�� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER `��V" <br /> I �lf7 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � <br /> i <br /> BUILDER � PANY <br /> SIGNATURE isr Y/ N FEE CURREA Y/N <br /> Address •� Q , "r i C 3 � License# �Pjc� a� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License#' <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address ' <br /> License# <br /> 111111111111111111111111111111111�1111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisionsAarge 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence inslalled, <br /> Sanitary Facilities&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 atl NEW construction. <br /> �1_! <br /> Directions., <br /> Fill out application completely. <br /> Owner&ConVactor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the conlractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter ii on public roadways..needs ROW <br />