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• -- � ais-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> IBuilding Departmenl <br /> Date Received Phone Con[act for Permitting ( u�� (O� - � <br /> -�-�-1-1-�-�-1-1- 1 1 1 1-1 - <br /> Owner's Name � � -,5 '�� <br /> ,V Owner Phone Number <br /> � <br /> Owner's Address � S Owner Phone Number <br />�� Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS � � � S � LOT it L � <br /> SUBDIVISION � PARCELID# 4" � VV �' 0�•�� <br /> �00TAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � d ��L Y1 {.t� "� Y L T 1 � <br /> $�.ii�t� <br /> BUILDING SIZE SQ FOOTAGE Q.b 2- HEIGHT � <br /> �BUILDING $ O�Xy VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. <br /> �PLUMBING $ � ��/�� <br /> � v� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r <br /> �� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ���� <br /> i BU R COMPANY �j�ta�� SGY� �� ��T�n <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address ��� �� C.1 License# C�S� 13� <br />� ELECTRICIAN COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURREn 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 V/ N FEE CURRE� Y/N <br /> Address License ri <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREI. Y/N <br /> Address License� <br /> I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I I 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I <br /> RESIDENTIAL Attach(2)Plo[Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum len(10)woricing days afler submillal dale. Required onsile,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets o(Building Plans plus a Li(e Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new conslruction. <br /> Minimum len(10)working days after submi[tal date. Required onsite,Construction Plans,Stormwater Plans w/Sil[Fence installed, <br /> Sanitary Facilities&1 dumpster.Sile Work Permit for all new projecls.All commercial requiremen[s must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruclion. <br /> Directions:• <br /> Fill ou�application completely. <br /> Owner 8 Contractor sign back of applicalion,nolarized <br /> If over 52500,a NoHce of Commencement is required. (AIC upgrades over$7500) <br /> " Agent((or Ihe contractor)or Power of A[torney(for[he owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy o(conlract required) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />