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� s�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building�epartmenl <br /> Date Received • IS ` Phone Contact for Permitting (�a� U�� -� �D <br /> --i-�-�-i--�-r-t ,_ . ... - - ---- -rr-r Q <br /> Owner's Namu � �`�Q- '� VI� Owner Phone Number � ��v/ / <br /> Owners Address � p `-t C-e� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number - <br /> Fee Simple Titleholder Address � <br /> JOB ADORESS r � LOT# � <br /> SUBDIVISION W PARCEL ID# � ��v w L � <br /> (OBTAINED PROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPl10N OF WORK L T <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> re�- r-v-e-r�e-re-rrrr�rrrr�e-o-rrr <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ AMP SERVOIC� � '�R .��E�QFRGY Q W.R.E.C. <br /> �PLUMBING $ � `' ��. � <br /> I•,�i �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �'/y <br /> (/' / <br /> �GAS Q ROOFING Q SPECInLTY � OTHER 3✓ <br /> FINISHED FLOOR ELEVATIOtVS FLOOD ZONE AREA QYES NO � � <br /> .�-.-.-.-...�-.-.-.-�:-6-r..�-�.�.�i-'.-'.-r.- .-�:...-.�..-.-.-��Fe-w-•w-•--.-.�-....-r.-V-.-.-.��.-�.-.-.-i-G-:�-.-.- <br /> BUILDER COMPANY <br /> SIGNATURE REGiSTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN " COMPANY _ � �� O � <br /> SIGNATURE REGISTERED Y N FEECURRE� Y N n <br /> Address � O �� License# �� / <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Addross License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS7ERED Y I N FcE CURRE� Y!N <br />' Address License# <br /> I OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111LIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels oF Building Plans;(1)set of Energy Fortns;R-p-W Permit for new construaion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence instailed. <br /> Sanitaty Facilities&1 dumpster;Site Work Permit for subdivisionsilarge projecis <br /> COMMERCIAL Rttach(2)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Forms.R-O-W Permit tor new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w1 Silt Fence instalied, <br /> Sanitary Facililies&t dumpster.Sile Work Pennit for all new projects.AII commerciai requirements must meei compfiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW conslniction. <br /> F.1-1.-0-i-{.i-:..--.-r.��.i-P-.�.--r1.-1-9-4-F4-1-I-:..�..�-r1�-:.�.-�F-6-f-F.-r.-.- <br /> Directions: <br /> Fili out appiicaGon completely <br /> Owner&Contractor sign back of application,notarized i <br /> If over$2500,a Notice of Commencement is required. (AIC upprades over$7500) <br /> " Agenl(for the contractor)or Power of Attomey(for ihe owner)would be someone with nofarized letter from owner authorizing same <br /> OVER TNE COUNTER PERMITTING (copy of conlract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />