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sisaao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> � + Building Department I <br /> Date Received � / - <br /> Phone ContactforPermittin - ; <br /> Owner's Name � � �Yt" � p�l V�� �� (��1i8 Owner Phone Number � �/ �, � <br /> Owner's Address �(�( v L:.�1��i'((/Fyli G Owner Phone Number , <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J � d � `J� , �G.'��L`�'G'S �L� � LOT# � <br /> SUBDIVISION PARCELID# ���`� ��v�/��'"(i�CO� '���t7J. <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW cONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH ' <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK � FRAME � STEEL 0 <br /> DESCRIPTION OF WORK '(� �� � ` �� f�� �li(��C� � ,� /���! <br /> BUILDING SIZE ��ab /� SQ FOOTAGE I� HEIGHT � <br />' �BUILDING u� �� VALUATIONOFTOTALCONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. - ' <br />' �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �G ��� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> •,F�-1- � <br />` BUILDER COMPANY J/��IO v ��7�J�� �J�/����1'°i"v � <br /> SIGPIATURE � REGISTERED Y/ N FEE CURRE� 1 J N <br /> Address � � ,� �' .�����'License# ��� / <br /> �ELECTRICIAN �y� �� MPANY 0//���� �L�WI(�-� V��� , <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �O i. , �� ' License# �J�. �• / � <br /> ( <br /> XPLUMBER � COMPANY I <br /> ( SIGNATURE REGISTERED Y/ N FEECURRE� Y!N <br /> Address License# <br /> � i 'v(�IECHA � ¢OMPANY �YS'F C((1S S �C C l7 f <br /> 8'� URE REGISTERED Y/ N FEE CURRE� Y/N , <br /> Address �(� �eY 1- f 'K-J�'� e# Ee v�UZs�v <br /> ER COMPANY ; <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllltllllllllllttllllllllllllllll <br /> RESIDENTIAL Ariach(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,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <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 submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllilies&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance � <br /> SIGN PERMIT Attach(2)se[s of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW consWction. ; <br /> i <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicalion,notarized ; <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for lhe 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(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />