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\ <br /> ` e��-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ,- Building Department <br /> � Date Recefved Phone Contact for Pertnitting J �G - �C/ � <br /> 1 1 1 1 1 1 1 1 � 1 I 1 1 1 <br /> Owners Name �(,/� ,V(i(r( Owner Phone Number � � � <br /> .� '/ <br /> Owner's Address O� /' V Owner Phone Number <br /> Fee Slmpie Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D �,(� I G � LOT# � <br /> SUBDIVISION PARCEL ID�i � � ' I� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q DEMOLISH <br /> e INSTALL 8 REPAIR �� <br /> PROPOSED USE Q SFR Q COMM 0 TI�l <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q �n�� <br /> OESCRIPTION OF WORK ��"v S7J �a' �2`�� � FJl/�� r V' o -�a��l�� <br /> BUILDINCi SIZE SQ FOOTAGE HEIGHT � /�/��j� ��/ <br /> tL.•� // <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION y ��� � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � "V[��� <br /> QGAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATION FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNAT[JRE r�cisr�Eo Y! N �E cURrtEN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> aaa�55 u�e�se# <br /> PLUMBER ���P� <br /> SIGNATURE ae�isr�o Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y I N FEE CURREN Y/N <br /> Address License# <br /> OTHER � COINPANY � <br /> SIGNATURE REGISTERED N FEE CUR E Y/N I <br /> Address SY ' � ���-'' License# � � <br /> 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 I t I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 I I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sats af Building Plans;(1)sa[of Enargy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required ansde,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit far subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(7)sei of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&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, i <br /> Directions:, <br /> Fill ou[application wmpletely. <br /> Owner&Contractor sign back of applicatian,notarized <br /> If over SZSOD,a Notice of CommencemeM is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the awner)wauld be someone with notarized letter from ovmer authorizing same <br /> TER PERAAII"fING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgredes AlC Fences(PIoVSurvey/Footage) <br /> Driveways-Not aver Caunter if on public roadways..needs ROW <br />