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�: <br /> � - ais-�aaoo2o City of Zephyrhills Permit Application Fax-813786�0021 <br /> Building Department <br /> ; Date Received Phone ContactforPermittin 1�Z — V�LZ� <br /> Owner's Nama I }'1 �I Y Owner Phone Number <br /> Owner's Address �� �—i� �e �1� 9� �Owner Phone Number <br /> , Fee Simple Titleholder Name Owner Phone Number <br /> � <br /> iFee Simple Titleholder Address <br /> JOB ADDRESS �I �J} , � I�aJ •�� LOT# � <br /> ISUBDIVISION PARCEL ID# I ^L �Z�� ��V� O��— 1 <br /> I (OBTAINED FRON PROPERTY TAX NOTIC� <br /> WORKPROPOSED e NSTALLSTRe REPAIR � SIGN Q Q DEMOUSH <br /> IPROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> � ` ^ ' <br /> DESCRIPTION OF WORK P� ���I �c � <br /> i <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> I <br /> �BUILDING $ ' VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUM8ING $ ���,% <br /> � �� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALIATION <br /> l ' <br /> QGAS � ROOFING d SPECIAL"fY � OTHER � � � <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � , <br /> I <br /> IBUILDER COMPANY �� Y �Y� <br /> SIGNATURE REGISTFRED / N FEECURRE� N <br /> I <br /> Address �C � � � �}� License# �J� <br /> � <br /> i ELECTRICIAN COMPANY <br /> SIGNATURE REGI3TERED 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 /> MECHANICAL COMPANY <br /> � SIGNATURE REGISTFRED YI N FEECURRE� Y!N <br /> Address License# <br /> I <br /> � OTHER COMPANY <br /> I ' <br /> � SIGNATURE REGISTERED Y/ N FEECURRE� Y/N � <br /> I Address License# <br /> 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 1 1 1 I 1 1 1 1 1 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 1 1 1 1 1 1 1 1 1 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets oi Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructian, <br /> � Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/S�lt Fence installed, <br /> � Sanitary Facilities 81 dumpster,Site Work Permit for subdivisionsllarge projects ' <br /> COMMERCIAL 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,Stortnwater Plans w/Slt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Woric Permit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels iof Engineered Plans. <br /> ; ""PROPERT�'SURVEY required for all NEW construction. <br /> IDvections:• <br /> Fill out application completely. <br /> Owner&Contracior sign back ot application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Nol over Counter if on public roadways..needs ROW <br /> / <br />