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e�a-�eo-0ozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � �. Building Department <br /> Date Received Phone Contact for Permittin — � tt.(��r <br /> Owner's Name � �f(�}� Owner Phone Number �(� ' l o O'.3 7�C� <br /> Owner's Address 52 55 l I�- �t-. h 'h��FS �'1• Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple TIlleholder Address <br /> JOB ADDRESS �S `I�°� �• / e �� 1 l� �' �;J�t{'L LOT# � � <br /> SUBDIVISION C���F ZC,pF)`�rih'lls P Pj� ppRCEL ID# `�� 2 �� ��'-V���" �� ���`b C�� <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e W TALLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �, � L [.C.V C.l Wv <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. ` <br /> QPLUMBING $ � <br /> ��: <br /> �MECHANICAL $ ���`�C VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY �� �lh A�Y C�Y�Ir'�l,rn1F� ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address ��'O� �V ���� �7 ��in' J7J License# �I�l��bl`'i'�J`(' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> Illllllllllllllllllllllllllllllllllliilltllltlllillllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construc0on, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Senitary Facilities 81 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 Fortns.R-O-W Pertnit for new construction. I <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,Construction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 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&Contractor sign back of apptication,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (AIC upgredes over$7500) <br /> •' Agent(for the conVactor)or Power oi Attomey(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />