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��_ - � <br /> s�a-�aaoo2o City of Zephyrhills Permit Application Fax-813-78Q0021 <br /> Building Department <br /> � <br /> Date Received g I �0Z �Cl Z� <br /> Phone Contact for Pertnittin <br /> Owner's Name Owner Phone Number <br /> Owners Address ��� I 1 � l� ��Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address I <br /> JOB ADDRESS . IJIQV� LOT# � <br /> SUBDIVISION � `���11 PARCELID# _`�-2 -Zl-U06A -OoaOo- I �J <br /> WORK PROPOSED NEw coNSiR� ADD/ALT � SIGN NED FR�OM PROPERNT�ric�DEMOUSH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � (� rt/ � � � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILOING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL y AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' �� 33� <br /> QGAS � ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> � <br /> BUILDER COMPANY 1� C,`� �/� <br /> SIGNATURE REGISTERED / FEECU Ef. N <br /> Address 1 License# <br /> ELECTRIqAN COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEECURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURREf� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTEREO Y J N FEECURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE�. Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t I 1 t 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bulding Plans;(1)set of Energy Fortns;R-O-W Permit tor new constructlon, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisionsAarge projec4s <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requi2d onsite,Construction Plans,Stormwater PI2ns w/S�lt Fence installed, <br /> Saniiary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must maet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application cnmpletely. <br /> Owner&Conlractor sign back of application,notarized <br /> If over$2500,a Notice of Commencament is required. (A/C upgrades over$75U0) <br /> " Agent(for the contracto�)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE CQUNTER PERMITTING (copy of contract 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 />