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� ' s�a-�aaoozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting — <br /> —rm�—� p� <br /> Owner's Name S Owner Phone Number �� 3 �3� �� D <br /> Owner's Address �� ' y'r[�n�d�W��ne NY�r�i6e'r� �1 Z <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� , f 3 3S`��0 <br /> SUBDIVISION PARCEL IQ# '� "� OOI(/ <br /> (OBTAINED FROM PROPERTY TA NOTICE) <br /> WORK PROPOSED e NEW cONsr� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1 GiI�O V� � V' ff V' � , <br /> BUILDING SI2E SQ FOOTAGE 2�DO DOO HEIGHT � <br /> �1����f.� $Z b� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL - $ VALUATION OF MECHANICAL INSTALLATION /�� <br /> ��� <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO l <br /> f�—E-i— <br /> 1 <br /> BUILDER � COMPANY Vl �� <br /> SIGNATURE ISTEREo Y N FEE CURREN N <br /> Address License# C�� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N F�cu� Y/N <br /> � Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE �cis7e�o Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE Rects�a�o Y/ N F�cur�EN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE RECIs7E�� Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 I 1 1 1 1 1 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 I I 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of 8uilding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facili6es�1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Fortns.R-O-W Permit for new consWction. <br /> Minimum len(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster Site Woric Pertnit for all new projects.All commercial requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far all NEW construction. <br /> Directions:• <br /> Fill out applicaGon completely. <br /> Owner&ConVactor sign back of applicaGon,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of conVact 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 />