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; . , <br /> ; <br /> r '`�' a�saae-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> rBullding Department <br /> Date Received Phone Contact for Pertnitting �J 1 C� � 1� <br /> Owner's Name � � Owner Phone Number <br /> OwnersAddress 11 � �h� �W�^��� I <br /> ner Ph e umber <br /> Fee Simple Titleholder Name Owner Phone Number I �i <br /> Fee Simple Titleholder Address I �� <br /> JOB ADDRESS � � �/,1 v I 1(4 � ���� � I <br /> i <br /> SUBDIVISION I V I I` PARCEL ID# <br /> (OBTAINEU FROM PROPERN TAX NOTICE) i <br /> WORK PROPOSED � N TALLSTR e REPAIR � SIGN Q 0 DEMOLISH i <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> � <br /> DESCRIPTION OP WORK � 1 � � � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � I <br /> I <br />' BUILDING S NY1� VALUATION OF TOTAL CONSTRUCTION ' <br /> U-�� <br />, QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br />, QPLUMBING $ C��� i <br /> ,9 J �..- ; <br /> r� Z��C ��o., <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l 1 ' � I <br /> v <br /> i OGAS Q ROOFING Q SPECIALTY � OTHER � ; <br /> � <br />' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � � <br /> � <br /> BUILDER �� �COMPANY V1 � <br /> SIGNATURE � REGISTERED N FEE CURRE� Y N <br /> ` i <br /> Address l ��\ License# — , <br /> ___ ELECTRICIAN _`n � � ��OMPANY � d�(�� ; <br /> SIGNATURE �V� REGISTERED Y/ N FEE CURRE� Y/N ' <br /> Address C� b� '�{53 License# �C� 7�� �SS T <br /> PLUMBER � GY n�� � COMPANY � = <br /> SIGNATURE � W REGISTERED Y! N FEE CU n Y/N' <br /> Address � l� I License# C ��'( I <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> i Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ' <br /> � <br /> Address License# � <br /> 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 I I 1 1 1 1 I 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 1 1 1 1 I 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permitfor new consWction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects I <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. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, � <br /> Sanitary Facilities 8 1 dumpster.Site Work Permi[for all new projecls.All commercial requirements must meet compliance I <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ••••PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> - Fill out application completely. <br /> Owner S ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requlred. (AIC upgredes over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (copy of contract required) <br /> Reroofs it shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br />, Driveways-Not over Counter if on public roadways..needs ROW <br />