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. <br /> - �i � Fax-813-780-0021 <br /> � s�saso-oozo City of Zephyrhills Permit Application <br /> Building Department <br /> i �^ <br /> , ' � Date Recelved �6 Phone Contact for Permitting —�W <br /> IOwner's Name �T�1� ^ 1... C d ��1" 1� Owner Phone Number <br /> Owner's Address �� Y� 5��2 �-Ke�rr1F1 3 �( �5�Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> iJOBADDRESS �� �S �il2, Y�'���11�1 �III �3J LOT# � <br /> � SUBDIVISION �U�YC�(�� V�`�(�,`, PARCEL ID# vG ZLQ�Zt��,d��S�-�"��Z� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> I WORK PROPOSED 1-�' NSTALLSTR� REPAIR � SIGN Q Q DEMOLISH <br /> I� I <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Re lace G�n-t-� e VI� �1� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> BUILDING $�) t�� VALUATION OF TOTAL CONSTRUCTION <br /> —r <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ i � ��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER , ��i� COMPANY `� � <br /> SIGNATURE REGISTERED N FEE URRE� N <br /> � Address �C Z` `� I'," �"1 —[,� License# U�� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY i <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 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 1 I 1 1 1 1 I 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 I 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 cansWction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Ptans w/Silt Fence installed, <br /> Sanitary Facilities&1 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 /> DlrecNons:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice af Ccmmencement Is.requlred. (AIC upgrades.over 57500) <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 contrect 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 />