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�- �� ! <br /> aisaso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ' <br /> , • Building Department <br /> Date Received �I`� �$� _ ���D <br /> Phone ContactforPermitting <br /> ti <br /> Owner's Name f-L !N' Owner Phone Number g��� / � a S(p <br /> Owne�'s Address ��� J Owner Phane Number <br /> Fee Simple Titleholder Name � � Owner Phane Number <br /> Fee Slmple Titleholder Address <br /> JOBADDRESS � 3S O� S�e I LOT# � <br /> SUBDIVISION 1"�«� I�� (—+���1� PARCEL ID# <<I a� oZ) ' ��� • � �� <br /> (OBTAINEO FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED B NEW CON57R e ADD/ALT 0 SIGN Q Q DEMOLISH , I <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER Q I <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 U i <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $7,�S I , 5� VALUATION OF TOTAL CONSTRUCTION <br /> J lp <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � `� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY S r <br /> SIGNATURE REGISTERED Y/ N FEE aaen Y/N <br /> Address �t l� V� � I Lfcense# C(_�_�Jo�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� 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/ 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 I 1 1 1 I 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 I 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 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construc[ion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aIl NEW construction. <br /> Directlons:• <br /> Fill out application completeiy. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> i Driveways-Not over Counter if on public roadways..needs ROW <br />