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aiaaeaoozo City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> y Date Received .r� (� �j ��'� � C'/�, <br /> / � �' �� Phone Contact for Pertnitting b �J tl� <br /> Owners Name rl�j � J/Q �� I Owner Phone Number �,j �f`7 7 l0 7 Il'� <br /> Owners Address �J �J� ►-n������� �.� Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS ���S r � � <br /> LOT# <br /> SUBDIVISION �C�f�O�N sX 'rvl7'Y/ PARCEL IQ# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER t'e� <br /> IYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIP110N OF WORK f�S'�'�/�l G���} v �/I( � <br /> BUILDING SIZE SQ FOOTAGE I S� HEIGHT � <br /> �BUILDING $ �f O . VALUATION OF TOTAL CONSTRUCTION <br /> c� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY .R. .C. <br /> QPLUMBING $ �,('� J ) <br /> +� � lJ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � � � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO x � � <br /> BUILDER n����� � COMPANY 'hL�" <br /> SIGNATURE L� REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN 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 CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consUuction, <br /> Minimum ten(10)working days after suhmittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanifary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVuction Plans,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br />' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: , <br /> Fill out application 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 contractor)or Power of Attomey(for the owner)vrould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Remofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> 1 <br />