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• a <br /> , sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmen� <br /> Date Received Phone Contact for Permitting �� �p�-- � <br /> � � � e � � � � � � � � i - <br /> Owner's Name �V� J 1'e�.� Owner Phone Number �� � ��S ' ,3 oZ.r <br /> Owner's Address 3 S 3� '^�l+l �` �1 � Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �0 J� L� ��"`� I`� LOT i/ � <br /> SUBDIVISION PARCEL ID# a�'1" u�'d I"QO (7 <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 � OTHER ��,(7� <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK � Q S • /LL'/�..L7� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ � f� c�'C'� VALUATION OF TOTAL CONSTRUCTION <br /> a J� <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ���� � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (n� � � <br /> � v <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I I V J I License it � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� 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 Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new cons[ruction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construclion Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for suhdivisionsllarge projects <br /> COMMERCIAL Attach(2)complele sels ot Building Plans plus a Li(e Safety Page;(1)sel of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after subminal date. Required onsite,Construction Plans,Stortnwa[er Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permil for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required tor all NEW conslruc�ion. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicalion,notarized <br /> I(over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letler from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroois i(shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Nol over Counter if on public roadways..needs ROW <br />