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s�s-�saoozo City of Zephyrhills Permit Application Fax-813-78Q0021 <br /> , ' Building Department <br /> Data Received phone Contact for Pertnitting — <br /> Owners Name + Owner Phone Number J��v�—`-'"'�`-' <br /> Owners Address� C� "'�C? �""° '' " V� Owner Phone Number <br /> Fee Simpie Titleholder Name Owner Phone Number <br /> � Fee Simple TiUeholder Address <br /> JOB ADDRESS � ` �� LOT# � <br /> SUBDIVISION PARCEL ID# Il-a�- a� O� ���w—�� v <br /> , (OBTAINED FROM PROPERTY TAX NOTICE) <br /> ' WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> � TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> I {� i �,,,,� <br /> DESCRIP110NOFWORK �C C�prN� C��-T C�dmo� '� ��r �� �ea� r t���� `SUST�' ' <br /> �J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> I QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I QPLUMBING $ //J 8 ? <br /> , �� ��� <br /> � �MECHANICAL $ 1\�� O VALUATION OF MECHANICAL INSTALLATION � <br /> ��� �I QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> � Address License# <br /> IELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> I <br /> ' Address Licenseii <br /> I �PLUMBER COMPANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I <br /> ; Address License# I <br /> MECHANICAL COMPANY =T�C� '�r � �\\�Q"����`' I <br /> SIGIdATURE REGISTERED N FEE CURRE� Y/N <br /> Address "� C��� License# C 1 1� <br /> i OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> � � � � � � � eoi � � t � i � � � � s � � � si � � � � e � � � � o � � � ii � � � � i � s � � � s � te � � � � � � s � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Permit for subdivisions/large projec[s <br /> � COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(t)set of Energy Fortns.R-O-W Permit for new wnstruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Saniiary Facilities 8 1 dumpster.Site Work Permit for alt new projects.Ail commerdal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> i ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> i Fill out application completely <br /> � Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over E7500) <br /> " Agent(for the conVactor)or Power of Ariomey(for the owner)woutd be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conUact required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />