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1 <br /> _ � a�s-�aaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> i � � ' Building Department <br /> Date Received � Phone Contact for Pertnitting J �� <br /> r rr r r� rr -- - - -- r rrr - <br /> n�I 1 2p?, <br /> Owners Name � /•'/ Owner Phone Number �� `�(J✓ <br /> Owners Address �r ✓/�/ -� � / �Owner Phone Number <br /> Fee Simple Titleholder Name � � C� Owner Phone Number <br /> Fee Simple TitleholderAddress �� Q �`L '`v���`� � <br /> JOB ADDRESS �/ ,'/ G� �J � � LOT# � <br /> SUBDIVISION `�— PARCEL IQ/� <br /> (09TAINED FROM PROPERTY TA%NOTICE) <br /> I WORK PROPOSED e NEW CONS7R e ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME 0 STEEL Q <br /> DESCRIPTION OF WORK /c��/ I` L��'( � /C L � <br /> / �—� r <br /> BUILDING SIZE � x � SQ FOOTAGE % HEIGHT �� <br /> BUILDING $ ' /�Q� �� VALUATION OF TOTAL CONSTRUCTION <br /> v <br /> ��ECTRICAL $ �C j AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> / ���� � <br /> OPLUMBING $ L� /� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��.�`��� " V <br /> ��t, l�- ` S <br /> / �, <br /> GAS ROOFING SPE IALTY THER , I?fT v <br /> 0 � 0 � L!� o Sl r�r <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO � � � <br /> � � � <br /> '��i-:��:-7-:-:-�'..:-�-F:�7-7--i�� . . . . .-: .-:��i-:�:-'•-:-:-:-:-•8-:� '�--r:T� <br /> 1, .�L [ <br /> BUILDER Q�`' � ��� �/COMPANY T^ ` , ~`C/� <br /> SIGNATURE REGISTERED N FE URRE� /N <br /> Address V �- �� r License# � �!/U � <br /> ��� �.� � � <br /> ELECTRICIAN � ANY � � <br /> SIGNATURE EGISTERED Y N FEE CURRE� Y/N <br /> Address � � ' e License# �, <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&t dumpster;Site Work Pertnit for subdivisionsllarge 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite.Construclion 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 /> . y . d . . y . . e . . a_' a.: ' a..: ' .... � <br /> Directions: <br /> Fill out application completely <br /> Owner&Conlractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> '• Agent(for lhe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />