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.� <br /> a�sasaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �'�' Building Department <br /> ' Date Received Z,�f 6•� Phone Contactfor Permitting U 0 �.J"' - � Of� Y <br /> TI 1 1 rI-1-7- i <br /> Owner's Name f �� Owner Phone Number j O � <br /> Owner's Address � y Q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � rT LOT# � <br /> SUBDIVISION PARCEL ID# O � '2�" QI�O " O OQO O " O�7 O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) ' <br /> WORK PROPOSED e NEw CONS7R e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIONOFWORK F'MO�IN O V L ZC �Q ���� � <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT � <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $�I ��[J AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. i� II <br /> � � <br /> QPLUMBING $ i �j�� I� � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION�� I �Q�--'I� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER v � l4�/� �� <br /> 1' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � _ r�v <br /> .�� iv <br /> BUILDER COMPANY <br /> SIGNATURE REGISTER D Y/ N FEE CURRE� Y!N <br /> Address � ( License# � <br /> ELECTRICIAN COMPANY I V�7V T SO L�R D E V• � <br /> SIGNATURE ISTERED Y/ N FEE CURRE� Y/N <br /> Address CiR � S License# � � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y I 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 CURREh Y 1 N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding 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 /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.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&1 dumpster.Site Work Permit for aIl new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Altach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applica6on,notarized <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for lhe owner)would be someone wilh notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of conlract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter i(on public roadways..needs ROW <br />