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I <br /> s�s- so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � = Building Department <br /> ; F . <br /> Date R�ceive � � � Phone Contact for Permitting �� � � <br /> Owner's Nam� �/�/ � (/C� Owner Phone Number <br /> I <br /> Owner's Addr I ss (� , ! �.'L � � Owner Phone Number <br /> Fee Simple Tit eholder Name Owner Phone Number <br /> Fee Simple Tit eholder Address <br /> i <br /> JOB ADDRES I � �� V l.-� LOT# �� <br /> SUBDIVISION �.� I� L ID# V "' �� l Z ""' � <br /> � l C Z ���D -�0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP SED B , NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U�I E Q SFR� Q COMM � OTHER <br /> TYPE'OF CON TRUCTION Q BLOCK - Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK g� C� �J� � (/� � <br /> BUIL:DING SIZ I SQ FOOTAGE� HEIGHT <br /> OBUILI ING $ J��,�)4 VALUATION'OF TOTAL CONSTRUCTION <br /> l <br /> QELE ITRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLU I BING $ <br /> a -�-/�7��1 <br /> QMECI ANICAL $ VALUA7'ION OF MECHANICAL INSTALLATION <br /> � <br /> OGASi Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLO� R ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY v ° . ' <br /> SIGNATURE � REGISTERED � / N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE i REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# � <br /> PL•UMBER.c COMPANY <br /> SIGNATURE I REGISTERED Y/ 'N FEE CURRE� � Y/N <br /> I <br /> , Address I License# <br /> M ECHANICAL COM PANY <br /> SIGNATURE Re�isTERe� . Y/ N FEE CURRE� Y/N <br /> Addre§s � ' � License#- <br /> ..i�:: , ,, i <br /> OTHER� '�- 'I COMPAMY <br /> SIGNATURE"=�- - REGISTERED Y/.N FEE CURRE� Y/N i <br /> . -,��, I <br /> Address_.. � - � License# <br /> � <br /> , <br /> �.RESIDENTIAL�! Attacfi(2)'.Plof Rlans;�(2)=sets of�Building Plans;(1)set of Energy Forms;R-0-W Permit for new.construction, � <br /> - - Minimum.tten;_(;10)working`.days after submittal:iiafe. Required onsite,Con'stniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary F.acilities.&.1�.dumpster,Site:W.ork�Permit for subdi'visionsflarge projects <br /> COMMERCIAL ' Attach(2)carriplete'sets"of BuilBing Plans plus a Life Safery 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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�all new p'rojects.Ali commercial requirements must meet compliance <br /> :� SIGN PERMIT i Attach(2)sets of Engineered Plans.' � <br /> i ""PROPERTY SURVEY required for aII.NEW construction. � <br /> Di�ectioris: � ; - <br /> Fill out application completely. <br /> , Owner&Co�ntractor sign back of application,notarized <br /> , If over$25�0,a Notice of Commencement is requlred. (AIC upgrades over$7500) <br /> �"" Agent(for �e'contractor)or Power of'Attomey(for"the owner)would be someone with notarized letter from owner authorizing same <br /> � 011ER THE�COU TER-PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> �I <br /> Dr(veways- ot over Counter if on public roadways..needs ROW <br />