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' <br /> i <br /> ; e�aasaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> I Building Department <br /> ; i -. <br /> Date Received � <br /> � Phone Contact for Pertnitting — <br /> i' !, <br /> Owners Name � <br /> � ' B Owner Phone Number _ �-y � � <br /> Owners Address � � ,r, Owner Phone Number <br /> i <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> iFee Simple Titleholder Address <br /> JOB ADDRESS �� J � �(z LOT# � <br /> � SUBDIVISION PARCEL IDl� '� �r- '�O " � 7�- `� � � �Q; <br /> �I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> � WORK PROPOSED NEW CONSiR ADD/ALT � SIGN Q Q DEMOLISH <br /> �I e INSTALL e REPAIR <br /> IPROPOSED USE Q SFR Q COMM 0 OTHER <br /> � TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �I DESCRIPTION OF WORK c�,J� <br /> I <br /> � BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> IQBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> iELECTRICAL $� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I QPLUMBING $ <br /> u <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> � <br /> � �-�--.�. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> V <br /> P' C 0 i i 0 i i� i-� .... F-i�. i i.1—�r��r=.T�T.: . . .-�... '�.'� <br /> i <br /> i BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> � Address License# <br /> � y� <br /> I ELECTRICIA� � COMPANY 1 l' � � �G��`� <br /> � SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> i [ /� <br /> i Address �� J�' � �'�i� ense# � C� � _ o O S 7 3 <br /> I <br /> � PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address License# <br /> V <br /> I' <br /> � MECHANICAL COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> I Address License# <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> � Address License# <br /> f IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111 <br /> � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> � Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> V <br /> Sanitary Faciti[ies&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> P 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 all new projects.All commercial requirements must meet compliance <br /> � SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> i ""PROPERTY SURVEY required for all NEW construction. <br /> � 4,F• 4,F• <br /> Directions:• <br /> � Fill out applica6on completely <br /> �I Owner 8 ConVactor sign back of applicaGon,notarized <br /> i <br /> If over E2500,a Notice of Commencement is required. (A1C upgrades over$7500) <br /> " Agent(for the conVactor)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/Faotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> l <br />