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� a��-�s�-oo2o Gity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> lP(� - <br /> Date Received , o2O•�� Phone Contact for Permittin ����J '�`O� - �� Y � <br /> Owner's Name � S/� s' Owner Phone Number + BZ-� -[ � <br /> Owner's Address 7�.3 3 r � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �. LOT# � <br /> SUBDIVISION ' �. PARCEL ID# � �L�� � �+ �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e WSTALLSTR 8 REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME 0 STEEL 0 <br /> DESCRIPTION OF WORK e I d 2 sfC' -C �,S /df�.1���ZL �x / <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �-rrr <br /> �BUILDING $ � p p�. � VALUATION OF TOTAL CONSTRUCTION <br /> O I <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (�]/;�//� <br /> l) <br /> - � � <br /> OGAS Q ROOFING Q SPECIALN � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �� ��1--1--F-1-1�1-�-1-F�-1-�i-:--��I-��' C--�-'-:-:-�S�C- <br /> BUILDER . /, ��� � COMPANY GZf t �1�/do _ <br /> SIGNATURE Q�L- REGISTERED Y/ N FEE CU RE� Y/N <br /> Address �5.35� �! f�'� �/'. License# CPC Z,S Q <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ' REGISTERED 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 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 /> IIIIIIII111111111111111011111111111i1111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Stormwater Plans w/Silt Fence installed, <br />� Sanitary Facilities&1 dumpster;.Site Work Permit for subdivisions/large projects <br /> I 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,Stormwater Plans 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 NEVV construction. - _ _ _ _ <br /> - Directions:• <br /> - - L'..6.nk�.�.° '�'�:-:�f��$..i�-C-fr.ioi-3-0..@�i=.i�'" .- - - ---- . . . � <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> I M If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrad 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 /> _......_ ...,. . . . _.. ._..__ , �� - -- - - <br /> � .� „ ,- � , , . i . . . . „ - ' , <br /> • � . . .. ,,_ , � '� ' . ; . , <br /> . , . - — - � e,�, ' ' ' <br /> �_.._. .�_. '' . ' . ._�'_. ' .' f ..,, .,...- ,.- - -- - - - — <br />� <br />