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; s��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , ' Building Department <br /> Date Received Phone ContactforPermltting — <br /> // � <br /> Owner's Name J�.S'�% � ���'Q/l I OwnerPhone Number ���-�i�"7�� � <br /> 3�s�a y �s�,, <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS �� � �-S ' � �'QP rh�I�5 FL 33Sy� LOT# /� <br /> SUBDIVISION PARCEL ID# �" 2CL�d� ��� �����`�' I <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER !7 -Q C� - �1ViS <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q I <br /> DESCRIPTION OF WORK G �',(��������-�a Ton Len,nvx 5�-ra� �kCCp� �}�'�'��`fs�"E 5 I <br /> BUILDING SRE SQ FOOTAGE� HEIGHT � <br /> ' QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ I ��� <br /> . l � � <br /> � ` <br /> ECHANICAL $ ��� VALUATION OF MECHANICAL INSTALLATION I <br /> QGA5 Q ROOFING Q SPECIALTY � OTHER I <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL � ' COMPANY � ('�( £ (� <br /> SIGNATURE REGISTERED Y/ N FEE CUR Y/N <br /> Address ([J � , f 1... _ ( �z �TAi� License# C/tCO.J 5 j"J �� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllltlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets ot Building Plans plus a Life Safety Page;(1)set of Energy Farms.R-O-W Pertnit for new construcGon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 requfred for all NEW constructlon. <br /> Directlons: <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of application,notarized <br /> Ii over$2500,a Notice of Cammencement Is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />