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eisaso-0ozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> Date Received (,� � ��7 phone ConWct for Permlttin ��7 �� - �.S / <br /> Owner's Name �Y� � 1�-o Owner Phone Number �"3�Z I <br /> Owner's Address ����'� !3 z , e�Owner Phone Number <br /> Fee Simple Tltleholder Name Owner Phane Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �.(� 6 - ZP 1 L LOT# � <br /> SUBDIVISION PARCEL ID# (�z'Z�P" �" �� D� � ����0 <br /> (OBTAINED FROM PROPERTY TA7(NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � Y <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK (� /}C-P (,.�.`W Y- �/ ,� SI�2 L ���YI7(7 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION ,/' <br /> zsoo ���, <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.�i <br /> L <br /> �PLUMBING $ � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /,/�-�C� �r- , a � <br /> �� ��,�'( v� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO Q����i/� -" <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �C�'��b <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> / <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY �IIC�1��7L��U/ C�✓ D T �'T <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �L��dv�� II <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Piot 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,Construction Plans,Starmwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projec[s <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet comptiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dlrections: <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> •• Agent(for the conVactor)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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br /> � <br />