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� s��-�saoo2o City of Zephyrhills Permit Application Fax-87&7840021 ; <br /> Building Department <br /> � Date Received / / � Z�� %_� _ /_��� <br /> Phone Contact for Pertnitting � �q �p <br /> T�fT <br /> Owner's Name e� ` Owner Phone Number �J��� ' <br /> Owners Address T~ . � <br /> i ( Owner Phane Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> � Fee Simple Titleholder Address <br /> JOB ADDRESS K O� 1�� �. •^�� � LOT# � <br /> SUBDIVISION (��C � PARCEL IDfk � O'D�^D <br /> (OBTAINED FROM PROPERTY TAX N0T10E) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK ,`, � o �QPro��� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � ����D�..�� <br /> QBUILDING $ ...A VALUATION OF TOTAL CONSTRUCTION <br /> W <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS�ERGY Q��W.�R.E�. <br /> I � 1�� <br /> QPLUMBING $ � � G �G� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLA� ��n�/�� ���'g U�� ,-ti,�O <br /> /`cQ�! T/�t/CT � c'^� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <% ���s _ ��y�� <br /> J ��•G <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> - : : : : : : : : : : : . . .� r. <br /> BUILDER � � ��S COMPANY �, �� 3ta' (Q�'� l� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��'1� � � �,Q `; �3Sa3 License# e. � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N F�cuRREn Y/N <br /> Address License# ' <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIs��o Y/ N F�cuR�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facili6es 8 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 of Energy Fortns.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> u <br /> Directions: <br /> Fill out applicalion completely. <br /> Owner&Contractor sign back of appliq6on,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) , <br /> " Agent(for the contrador)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> i <br /> I <br /> I <br /> � <br />