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sis-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> `� lS <br /> Date Received ` r / ��� ' 2 <br /> Phone Contact for Permitting — <br /> �G. ��. � <br /> Owne s Name P Owner Phone Number <br /> Owners Address � ! ���f Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS LOT# � J�f�jL�� <br /> +��� <br /> SUBDIVISION PARCEL ID# �%, <br /> (OBTAINED FROM PROPERN TAX NOTICE) �� <br /> WORK PROPOSED [� NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> �� INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � �% � <br /> DESCRIP110N OF WORK Y.� � I �. � � r ��O � • <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ j <br /> 1ECHANICAL $� � L _ _ VALUATION OF MECHANICAL INSTALLATION Fi v �� P`� <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �j �I�v � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � +s,�'r. �lj��jj�'1 <br /> �v\. <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �] ,�r' . � <br /> ELECTRICIAN _ // COMPANY �Ol�'l.ri1'7L (= .L�7l� " <br /> SIGNATURE �"'�l y REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �=L���/ �Bp <br /> PLUMBER COMPANY <br /> SIGNATURE GISTERED Y/ N FEE CURRE� Y/N <br /> Address Lice�se# <br /> ` 'e Y / c��'!� <br /> MECHANICAL COMPANY If�✓1'� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> • �.. /��,�, <br /> Address � p License# L:e//>���S d�a <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItII <br /> RESIDENl1AL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit(or new construction, <br /> Minimum len(10)working days after submillal dale. Required onsite,Conslruction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Sile'VVork Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complele sets of Buildin�g Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new conslruction. <br /> Minimum ten(10)working days aRer submiltal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Sile Work Permit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERIY SURVEY required for all NEW construction. <br /> Directions:• <br /> •--^•--•--•--r�.--..-r.--r L.��1--f=...�-r.--•-+--.�-.—.-r.--•-•—•--r.--r�.�-•-••�-•--•— <br /> Fill out applicalion completely <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over a2500,a Notice of Cammencement is roquired. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wilh notarized leller from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conlract�equired) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />