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aa�-�aaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent ��I <br /> � 1 <br /> ¢ ". �i Dale Received p 21= �o� g�� _ a 9 90 ��o'��-_�� �t�. <br /> Phone Contact for Permitting �� / <br /> ; c <br /> �� Owners Name c� Owner Phone Number <br /> i� y��j (^ <br /> IOwner's Address !/J C �J Owner Phons Number <br /> � <br /> IFee Simple Titleholder Name Owner Phone Number <br /> I <br /> II Fee Simple Tiqeholder Address <br /> II JOB ADDRESS l � ��� � LOT# �� <br /> liSUBDIVISION / L.c�� '�PARCEI ID# �' I—D��.(�� � <br /> II (OBTAINED FROM PROPERTY TAX NOTICE) <br /> j WORKPROPOSED e NEWCONSTR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM •Q OTHER ' � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK I�'/ LI �N � `'�— � �� J I <br /> BUILDING SIZE X�(f SQ FOOTAGE �D HEIGHT '�' II ,I�p <br /> �UILDING S� �/'� VALUATION OF TOTAL CONSTRUCTION � <br /> �.•�.,/ <br /> I <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUM8ING $ � <br /> ��`l�C����� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � C �� _� <br />, � >a�!�-!1 <br /> �.�.�.�.� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER r'� � /�/ <br /> � ��-(� il-i,/l�?ll <br /> FINISHED FLOOR EI:EVATIONS FLOOD ZONE AREA QYES NO v � f i //���i <br /> � � � <br /> L �+ / ,�_' �,/ �/ � <br /> ( / ��" - t� �`J�' TQ� S� <br />� BUILDER COMPANY <br />� SIGNATURE � REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address c J �- ��'+�J � License# ����� J� <br /> ELECTRICIAN /v � COMPANY <br /> SIGNATURE REGISTERFD Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER ,� COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N � <br /> Address u�n5e# <br /> MECHANICAL N�� COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> OTHER N n COMPANY <br /> SIGNATURE /�! REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# I <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111 i <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Pians;(1)set M Energy Forms;R-O-W Pertnit for new consWction, � <br /> Minimum ten{10)working days efter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed. <br /> Sanitary FaGlRies&1 dumpster,Site Wotk Permit for subdivislons/large projeds � <br /> COMMERCIAL Attach(2)complete sets of Building Plans ptus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new conshuction. ; <br /> Minimum ten(10)wwking days after submittal date. Requlred onsfte,Conshuc0on Plans,Stormwater Plans w/Silt Fence instelled, <br /> Sanitary Facilities 81 dumpster.Site Work Permit 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 /> Dfreetions: <br /> Fill out appiication comptetely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a NoNce of Commencement is required. (A/C upgrades over a7b00) <br /> " Aggnt(for lhe contraclor)or Power of Attomey(for the owner)would be someone with nota�ized letter ftom ovmer aulhorizing same <br /> OVER THE COUN7ER PERMITTYNG (copy of contract requiie� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter ff on public roadways..needs ROW <br />