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$�s- so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> t Building Department ' <br /> Date Recoive phone�Contact for Permitting O�J ��� -- ��`� • <br /> Owner's Idam l � �/� /l6 ��'� �1�.��.5 Owner Phone Number �'13 - 35�-��-�1R <br /> Owner's Address � �'T� � � � Owner Phone Number <br /> Fee Simple Ti leholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� ��Co l'���/� - � � . T �/ LOT# � <br /> SUBDIVISIO ��N� l� PARCEL ID# `� �� o� �D/� �L�� �o�v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP SED B . NEW CONSTR� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR u((��`�^ <br /> PROPOSED SE Q SFR Q COMM � OTHER <br /> TYPE OF CO STRUCTION Q BLOCK - Q FRAME � STEEL Q <br /> DESCRIPTIO OF WORK ��.- �<e C�v �—du-� � � � ��l <br /> BUIL`DING SI E SQ FOOTAGE� HEIGHT <br /> OBUI DING $ VALUATION�OF TOTAL CONSTRUCTION <br /> DEL CTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPL MBING $ <br /> �E� HANICAL $ �j���� � VALUATION OF M�CHANICAL INSTALLATION <br /> J <br /> QGA Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FL OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRIGI GOMPANY <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 /> M.ECHANIC � � COMPANY S �'��/����� �`�T <br /> SIGNATURE" REGISTERED Y/ N FEE CURREA Y/N <br /> Address ( E�/v License# 7-J -6 'g�0 <br /> .�{.'� <br /> OTHER ` COMPANY <br /> SIGNATURE.. - REGISTERED Y/ N FEE CURRE� Y/N <br /> Address- - License# <br /> RESIDENTI . Attach(2)PIo4Plans;(2)•sets of Building-Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> , .f. " - - ,Minimum,.ten(10)working;days after submittal date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary:Facilities&-1 dumpster;Sife Work Permit for:subdivisions/large�projects <br /> COMMERCI Attach(2)complete sets of BuilBing 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 Attach(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 tdotice of Commencement is required. (A!C upgrades over$7500) <br /> '" Agent(fo th`e contractor)or Power of Attomey(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 shingles Sewers Service Upgrades NC Fences(PIoUSurvey/Footage) <br /> Drivewa Is-Not over Counte�if on publio roadways..needs ROW <br />