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� a��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , . Building Department <br /> Date Received phone Contact for Permittln <br /> Owner's Name � �QI r +� G Owner Phone Number 1� ""L"L � p� <br /> Owner's Address �l �� O ` q Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> � Fee Slmple Tltleholder Address <br /> JOB ADDRESS 1��-�'1 � r � .5 LOT# i a 3 5 <br /> SUBDNISION PARCEL ID# L l 1 d�� _�l ������C�Z�-V -• �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORKPROPOSED e WSTALLSTRe REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIONOFWORK {Y7CU'e— �5 �l LI� "l y`� ���(��� <br /> BUILDING SIZE SQ FOOTAGE `l U HEIGHT � <br /> QBUILDING $ ^• VALUATION OF TOTAL CONSTRUCTION <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED YJ N FEECURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> - SIGNATURE REG�STERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER • COMPANY � �� `l+� ln �y�t� IR,. <br /> SIGNATURE REGISTERED Y/ N FEE CURT2 Y/ `���'�-/ <br /> Address � License# �� � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for su6divisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Satery Page;(1)set of Energy Forms.R-0-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 8 1 dumpster.Site Work Permil for all new projects.All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Dfrections:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requtred. (A/C upgrades over 57500) <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 conVact required) <br /> Reroofs ff shingles Sewers Servfce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />