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,� �"' y � � Fax-813-780-002i <br /> _, 613-780.0020 City of Zephyrhills Permit Application <br /> ° �ti, � Building Departrnent � [I �[-� <br /> .� ` C1 J <br /> Date Received � � , phone Contact for Pertnitting — <br /> ' 1 � � � � 1 1 1 1 1 1 1 1 <br /> i <br /> Owners Name q t' Owner Phone Number i <br /> Owners Address y�� �' Owner Phone Numher <br /> , Fee Simple TiUeholder Name Owner Phone Number <br /> I <br /> , Fee Simple Titleholder Address <br /> ' JOBADDRESS T LOT# � <br /> � SUBDIVISION PARCEL ID# � <br /> ' (OBTAINED FROM PROPERTY T N0710E) <br /> WORK PROPOSED NEW CONsiti ADD/AlT � SIGN Q � DEMOLISH <br /> i, e INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUC110N Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � L ! <br /> OBUILDING $ `� /). J b VALUATION OF TOTAL CONSTRUCTION .�f�l �� <br /> oC V �� <br /> I QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /` �� � � � � <br /> �s/� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v �J � ��y-�,�� <br /> ����� � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER �' <br /> !� r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO L1 ���v <br /> BUILDER O COMPANY <br /> SIGNATURE � REGISTERED / cu En Y/N <br /> Addre � ' License# <br /> i <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURRET Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFJ� Y/N <br /> Add ress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> � SIGNATURE ttE�Is7ertE0 Y/ N FEE CURREt� Y/N <br /> Address License# <br /> 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 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 I 1 I 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 construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Fortns.R-O-W Pertnit for new constniction. � <br /> Minimum ten(10)working days after submittai date. Required onsite,Conshuction Plans,Startnwater Plans w/Silt Fence installed, <br /> I Sanitary Facilities&1 dumpster Site Work Pertnit for all new projecls.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW consWction. <br /> . . . <br /> Directions: <br /> Fill out application completely. <br /> I Owner&ConVacror sign back of application,notarized <br /> If over$2500,a Notice oT Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would 6e someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (capy of contract required) ' <br /> Reroofs'rfshingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />, � <br />