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e��-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ; <br /> Date Received phone Contact tor Pertnittin <br /> Owners Name 5 Owner Phone Number a c�s'o y a <br /> Owner's Address �V J`7 SM �W�� ��L Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titlehotder Address <br /> JOB ADDRESS pl � ��� Ff � ry LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSfR 8 ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCitON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK S Cf V � CI � (�� Up <br /> BUILDING SIZE Sp FOOTAGE HEIGHT �� <br /> Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �JELECTRICAL $ O,OO AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> �PLUMBING $ � /'/ �//l <br /> i �i� � lJ <br /> L <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMP C�/7�� /N��Ci <br /> SIGNATURE ,- / r�GlsreaEn Y/ N �E cUaREn Y/N <br /> R <br /> �d�� License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRET Y/N <br /> �d�� License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y( N FEE CURRE� Y/N <br /> Address License# <br /> MECHANiCAL COMPANY <br /> SlGNATURE t�cis�aeo Y/ N FEE CuariEn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE aeGlsrer�D Y/ N FEE cUw�n Y/N <br /> Address Llcense# <br /> � IIIIIIIItllllllllllllllllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit far new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Slt Fence installed, <br /> . Sanitary FaciliUes&1 dumpster,Site Work Pertnit for subdivisiansflarge proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/SJt Fence installed, <br /> Sanitary Fecilities 8 1 dumpster.Site Work Pertnit for ail new projects.All wmmercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far all NEW construction. <br /> Directlons:• <br /> Fill out application completely. <br /> Owner&ConVactor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requfred. (AIC upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authwiang same <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on pubiic roadways..needs ROW <br />