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w �' a��-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , : Building Department <br /> Date Received phone Contact for Permitting <br /> Owner's Name � � �'�sy .�� ^� f Owner Phone Number �1�s�1-1�1�� `�� <br /> Owner's Address �"1 D I N" e � � ���I`� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 0�8� � ZL' ��'l• I`5 LOT# � <br /> SUBDIVISION PARCEL IDl� �,�����t—`'1Jf��i��^�Z�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER e �n <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME 0 STEEL Q <br /> DESCRIPTION OF WORK �'���� `�•`"1 � <br /> BUILDING SIZE SQ FOOTAGE � � HEIGHT .L � <br /> 7"r r l 1 1 1 1 1 1 7"r l 1 1 I 1 I 7 T <br /> �BUILDING $ � �1? VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (j/' (� � <br /> �� � <br /> OGAS Q� ROOFING Q SPECIALTY 0 OTHER ( ,1� /'y'W�"' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � N u ,� <br /> 3 <br /> �, <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <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 �@TO��a�IC� '-��0�"�-Q <br /> SIGNATURE " REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �1 � V � ���w�p�t��'Ll.icense# ���- �J 9 1 I <br /> 1 I 1 1 I 1 1 I I 1 1 1 I 1 1 1 I 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 1 I 1 I 1 I 1 1 1 1 1 1 I I 1 1 1 I 1 I 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 Forms.R-O-W Permi[for new conslruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <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 PERMIITING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> , � <br />