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', 81�78�0� City of Zephyrhills Permit Application Fau�13-780-0021 <br /> ' Building Department <br /> • �Dete Received phone Contact tor Permittin �� J�� —��� <br /> Owner's Name Owner Phorre Number � � ( �� �(.)• <br /> Owner's Address "U-1�'�� '/� Owner Phone Number <br /> Fee Slmple liUeholder Name � 1't Owner Phone Number <br /> Fee Simple Titleholder Address 't� <br /> JOB ADDflESS �j�`'1 �"l�. 5��y S�I V $I� G�S LOT� � <br /> SUBDIVISION PARCELID9 I'��":r�('l.ti✓1(„�" {� �'` �/C.�� <br /> (OBTAINED FROM PHOPEHTY TA%NOTICq <br /> WORK PROPOSED � NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH � <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> 7YPE OF CONS7RUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP710NOFWORK R���F •��� �� � S`r� 4� ^ <br /> BUILDINGSRE SQFOOTAGE �yVv HEIGHT jIJ`Ify '� ��.Z� <br /> � <br /> QBUILDING $ ` VALUATION OF TOTAL CONSTRUCTION <br /> ���rJ. <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ (�) � �, I <br /> /tl�1Jl/ ^O" <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � J � I <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER • � ' COMPQNY �U� ' Gi� <br /> SIGNATURE LL REGISTERED N FEE W RRQJ Y( <br /> Address License# � 'L� <br /> �'�° <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE W RftFN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE W RREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE W RRFN Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 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 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 t <br /> RESIDENIIAL Attach(2)Piot Plans;(2)seLs of Building Plans;(1)set of Energy Forms;R-0-W PertnR for new cronstruction, <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Pians,Stormvirdter Plans w/Silt Fence inshalled, <br /> Sanitary Facilitles 8.1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a LiFe Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. <br /> Minimum ten(10)worldng days after submittal date. Required onsde,Construction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projecLs.All commeroial requiremenis must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> FII out application completely. <br /> Owner 8 ContracWr sign back of application,notarized <br /> If over$2500,a Notice of Commencement is requlred. (A/C upgrade9 over$7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letterfrom owner authorizing same <br /> OVER THE COUN7ER PERMITf1NG (copy of contract requirecn <br /> Reroofs if shingles Seu�ars Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />