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� _.. . a�aaao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> '7 Building Department <br /> 3/-1 ` ► � ^ (� /� <br /> Date Received Phone Con or Permi;' � � Y "�DO" �� 1 <br /> 1 1 1 1 1 1 I 1 <br /> Owner's Name Owner Phone Number ZS <br /> Owner's Address I a�ao SE �. �1 v W�Owner Phone Number <br /> �$00(n <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> e �JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL IDlk <br />, (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR B 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 0 STEEL Q <br /> DESCRIPTION OP WORK QV� a(�Ll r `�C� ` ` �� ��'� 1�I � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT e,��Sfi���j ao o �.m P <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION 9� "'�� ��S) �V ,� <br /> ELECTRICAL $ ��Q r p�F� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. `�`�J�� <br /> l.l.J ,� �-� F�c�.� P Pc <br /> QPLUMBING $ ^ , <br /> , QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �/ v m�'�� � �G <br /> • � ��,y��( w � � 3� <br /> QGAS Q ROOFING Q SPECIALN 0 OTHER � l� �„r � �I''� /' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO " \ � `�`� <br /> - � . g��.�.d . <br /> � x ,(�` <br /> BUILDER MPANY Y V T <br /> SIGNATURE REGISTERED Y/ N�,1� FEE C RRE� Y/N I <br /> Address r �J�_Llcense# ( w� <br /> ` SELECTRICIAN ��� ,` i �COMPANY � �� <br /> SIGNATURE REGISTERED Y N FEE CURRE� Y/N <br /> Address ���`�i L��icense# �I.�VV� Ul <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br />, Address License# <br /> 1'1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construcUon, <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 subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> i Minimum ten(10)working days after submittal date. Required onsite,C s c ion ans,Stormwa er ans w Silt ence installed,�— <br /> Sanitary Facilities&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 application completely. <br /> Owner 8 Contractor sign back of application,notarized - <br /> If over$2500,a Notice of Commencement is required. (AIC upgredes 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 PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br />, Drlveways-Not over Counter if on public roadways..needs ROW <br />