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� <br /> . � <br /> �'~ ��' a�saso-oozo . City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> Owner's Name �, t � � p� Owner Phone Number p �" � . � <br /> Owner's Address � �� � , � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS � ([1 (� � i ^ t'�L LOT# � <br /> SUBDIVISION PARCEL ID# L'� � � ����� `L%l V <br /> (08TAINED FROM PROPERN TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER li <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR.4ME � STEEL Q I <br /> DESCRIPTION OF WORK �� VO � I I <br /> BUILDING SIZE SQ FOOTAGE HEIGHT O <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />, OGAS Q ROOFING � SPECIALTY � OTHER <br /> i <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO i <br /> BUILDER ���/I��" COMPANY �� ������� � I <br /> SIGNATURE //—�1� i REGISTERED Y/ N FEE CURREA Y/N <br /> Address � /�G'Q �/� v / ,����� License# ��i(/f�!�/(/ <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 CURRE� Y/N <br /> Address License# �� <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllltllllltllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Sil[Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Li(e 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,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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(or all NEW construction. <br /> Directions: <br /> Fill out application completely • <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades 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 PERMITTING (copy of contract required) , <br /> ' Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ' <br />� <br />