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e�saeaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> i.. <br /> � Building pepaAment <br /> Date Recelved phone Contaet for Pertnittin <br /> � l - 55- <br /> Owners Name V Owner Phone Number i <br /> Owners Address �� � 1 Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT# � <br /> SUBDMSION S�\ O PARCEL ID# ��'�•�iL "�6d•�I�'�� <br /> (OBTAINEDFROMPROPERTYT �NOTICE) <br /> WORK PROPOSED e NEW CON57R e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALI REPAIR ��� <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL r] <br /> DESCRIPTION OF WORK � � (/�lA -� Ol}� ��+ � �l' 6 tOv� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICA� $ ' AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ �l �� <br /> MECHANICAL 3 ' / � VAIUATION OF MECHANICAL INSTALLATION `y.�M � II <br /> `J � <br /> QGAS Q ROOFING � SPECIALTY Q OTHER r^� II <br /> FINISHED FLOOR EIEVATIONS FLOOD ZONE AREA QYES NO U <br /> BUILDER COMPANY I� <br /> SIGNATURE REGISTERED Y I N FEE CURREN Y/N � <br /> I Address License# I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> IAddress License# <br /> PLUMBER COMPANY <br />' SIGNATURE REGISTERED / N FEE CURREN Y/N <br /> Address Lfcense# <br /> MECHANICAL COMPANY � � <br />, SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address ��� � � License� L+i��� � 'L7 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address LirEnse# <br /> IIIIIIIIIIIIIIIIIIIIIIIIItltlllllllllllllllllllllllltllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minfmum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stortnvrater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster,Site Work Pertnit for subdivisionsllerge proJects <br /> COMMERCIAL Attach(2)eomplete sets of Building Plans plus a Life Sefety Page;(1)set of Energy Fortns.R-O-W Pertnit for new conslrudion. <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stortnwaler Plans w/Silt Fence installed, <br /> Sanftery Fadlides S 1 dumpster.Site Work Permit for all new projeds.All commercial requirements must meet complfance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> Directfons:• <br /> Fill out applicaGan completery. <br /> Owner&ConVactor slgn back of application,notarized <br /> Ii over 52500,a Notice of Commencement Is required. (A/C upgrades over S7500) <br /> " Agent(for the conVactar)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PlotlSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />