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s,sl�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �� Building Department � <br /> Date Received p "` <br /> - �Phone•Contact for Permitting - O��j 7��` - `� ����. <br /> Owner's Na+ e � _ /��'� � Owner Phone Number `� ����E ��� <br /> Owner'sAdd ess ����g `�!�/V� � � OwnerPhone Number <br /> Fee Simple T tleholder Name Owner Phone Number <br /> Fee Simple T tleholder Address � � <br /> JOB ADDRE S ���� ��N�LJ (.L.J �r � �� LOT# � <br /> sus��v�s�o eeN m PARCEL ID# � � d� D� ���J ���� ���� <br /> (OBTAINED FROM PROPERLY TAX NOTICE) <br /> WORK PROPOSED , NEW CONSTR ADD/ALT � SIGN Q � Q DEMOLISH <br /> ., e ; INSTALL REPAIR . . • <br /> PROP.OSED SE '" Q SFR `'� Q ��COMM 0 � OTH�R � " " <br /> TYPE"OF CO STRUCTION Q BLOCK - Q'' FRAME � STEEL Q <br /> DESCRIPTIO OF WORK "�PS � � c..�-nN �DL,2T �py� lj��/�j'S � �O N <br /> BUICDIPIG SI E SQ FOOTAGE HEIGHT <br /> OBUILDING $ VALUATION�OF TOTAL CONSTRUCTION �� <br /> QEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PL M61NG $ <br /> �ME HANICAL $ 3�vf J,F'a� VALUATION OF M�CHANICAL INSTALLATION <br /> Q,GA Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FL OR ELEVATIONS " FLOOD ZONE AREA QYES NO <br /> , . .. , �,�. <br /> BUILDER COfIflPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License,# <br /> ELECTRICI COhAPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> PLUMBER. COMPANY� <br /> SIGNATURE' REGISTERED Y•/ N FEE CURRE� Y/N <br /> Address License# <br /> , �-/fR�' R�� �A�'�'�e�� <br /> MECHANIC G� I.P/� COMPAtdY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �}�F�/ �`�eN r <br /> i -�/I/S �3S'1� , , _ License# �J?�`� <br /> .e„ .. <br /> OTHER- `� COMPANY <br /> SIGNATURE- :. RecISTEREo : Y/ N FEE CURRE� Y/.N. �_, <br /> Address• License# <br /> RESIDENTI I Attach(2)Plot Rlans;(2).sets of'Building�Plans;�(1)set ofEnergy Forms;R-.O-W Permit for new construction, <br /> -r , : Minimum..ten�(10)working days after submittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> � Sanitary.Facilities;&1•dumpster;Site W,ork Permit for subdivisions/large projects <br /> COMMERCI Attach'(2)complete sets of Building Plans plus a Life Safety,Page;(1)set of Energy Forms.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 Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance <br /> SIGN PERMI i4ttach(2)sets of•Engineered Plans. <br /> *"**PROPERTY SURVEY required for all NEW construction. � <br /> Directions: <br /> Fill out a plication completely. <br /> Owner& ntractor sign back of application,notarized <br /> If over$ 500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(fo 'the contractor)or Power of Rttomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE C UNTER PERMITTING (copy of contract required) <br /> -Reroofs if shin,qles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewa I s-Not over Counter if on public roadways..needs ROW <br />