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-� <br /> �' � . <br /> a�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received a►a 1 ►�-- Phone Cantact for Permittin <br /> Owner's Name l, 1 Owner Phone Number <br /> Owner's Address '—{ J V G 11/ 1.,�.1� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � O�"1 'v�UI�V LOT# /W <br /> SUBDIVISION ��� S FARCELID# �j"I O�S OC` UI�G��� U <br /> (OBTAINED FRON PROPERN TA%NOTIC� , <br /> WORK PROPOSED e NEW CONS7Re ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1 l.S`�1J(, 'i"� � � I ( 1Q ��,t��]1 IJ n . <br /> 8U1LD1NG S1ZE SQ FOOTAGE �S,/3 HEIGHT � J ���� � <br /> �BUILDING � � q C/� VALUATION OF TOTAL CONSTRUCTION ^ <br /> 0 ,i�� <br /> (��f' I <br /> �ELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. �� <br /> OPLUMBING $ ��1 2/"J / <br /> � � / <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> -� �'' -fry/��', <br /> QGAS ROOFING Q SPECIALTY 0 OTHER � ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �,�I� <br /> V <br /> BUILDER COMPANY �� O � � <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> y 1 r �n /�h <br /> Address I U C� yJ �� License# l.�%� <br /> ELECTRICIAN CQMPANY <br /> SIGNATURE REGISTERED Y( N FEECURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECLIRREP Y/N <br /> Address License# <br /> M ECHANI CAL CO M PANY <br /> SIGNATURE REGISTFRED Y/ N FEECURRE� Y/N <br /> Address License t# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRFA Y(N <br /> Address License# <br /> � � � � � � � � � � � � � � � � � � � � � � � i � � � � � � o � � � e � � � � � � e � � � � � � � � � � � ii � i � � � � � � � � � i <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 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-aW Permit for new construdion. <br /> Mnimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facililies&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 NEW construction. <br /> Directions:• <br /> Fill out applicaUon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades ovar$7500) <br /> " Agenl(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />