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a��-�ao-oozo Ciiy of Zephyrhills Permit Application Fax�13-780-0021 <br /> ' � Buiiding Department <br /> Date Received 3i� _ ��C.t C� <br /> Phone Contad for Permittin � <br /> \� Owner's Neme Owner Phone Number +�1,�"C � ' J��l! <br /> � <br /> Owner's Address �—f� ��'� yJ �. Owner Phone Number <br /> Fee Simple Tttleholder Name Owner Phane Number <br /> Fee Simple Trtleholder Address (V <br /> JOB ADDRESS `, �� S\ LOT� � <br /> SUBDIVISION PARCEL ID� —�'��' (�;i �1"' �D�r'��.�J''��jl� <br /> (OBTAINED FROM PHOPEflTY TAX NOl1C� <br /> WORK PROPOSED � NEW CON57R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONS7RUCT10N Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIONOF WORK D Rr �.� 7 I'I�(iT SH1SV�7'�ti <br /> BUILDING SIZE SQ FOOTAGE I�1��a FIEIGHT � ����1. <br /> � <br /> QBUILDING $Ss—��' VALUATION OF TOTAL CONSTRUCl10N <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.EC. <br /> QPLUMBING $ /�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� �� ' <br /> ` � <br /> QGAS ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER * COMPANY f�I �IVU� ' j C�a <br /> SIGNA7URE �' REGISfERED N FEE CURRFN Y/N <br /> Address License# <br /> ELEC7RICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNAIURE REGI5TERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE RE6ISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach{2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities&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 newconstruction. <br /> Minimum ten(10)worldng days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl 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 /> ""PROPER'fY SURVEY required for all NEW construction. <br /> Dlrections:• <br /> Fill out application completely. <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over$250D,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> •' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letterfmm owner authorizing same <br /> OVER'fHE COUNTER PERMITTING (copy of contract require� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />