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s�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date R�celved ; Phone Contact for Permi �3 ' --J� J <br /> Owner's Name ,S �� e one Number s– <br /> Owner's Address , 1�.�. Oauner Phorte(dumber <br /> Fee Sienple Titleholder tdame � Ownee Phane Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � L � � 5�-- LO�# �� <br /> SUBDIVISIQN � PARCEL ID# <br /> {OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW COfVSTR ADD/ALT Q SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEI Q <br /> DESCRlPT10N OF WORK � .�2 �' �YYM -FI J)c� <br /> BUILDING SIZE SQ FOOTAGE L�p�j HEIGHT <br /> �BUILDING $ Q�� VALUATIO(V OF TOTAL COPISTRUCTION <br /> -"I <br /> {�ELECTRICRL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBIIdG $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS �_ ROOFING Q SPECIALTY Q OTHER <br /> FINtSHED FLOOR ELEVATIDNS FLODD ZONE AREA Q1'ES ND <br /> L.����_. ,_._._.._. <br /> BUILDER — COMPANY � <br /> SIGNATURE R6GISTERED Y N FEE CURRE� Y/N <br /> Address License# �����-�'��� I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! Pl FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �4ddress ����� <br /> MECHANICAL CaMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N I <br /> Address License# � I <br /> OTHER COMPAPtY <br /> SIGNATURE R6GISTERED Y/ N FEE CURREA Y/N <br /> Address l.icense# �— I <br /> Iillllllllllllllllllilllllllllllillllllllllllllllllllllllllllllllll I <br /> RESIDENTIAL Attach(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/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisfonsllarge projects <br /> COMM�RCIAL Attach(2)complete sets of.Buflding Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittai date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Slte Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach{�)sets offngineered Plarjs. <br /> """"PROPERTY SURVEY required for all NEW construction. <br /> . , <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is requtred. (AIC upgrades over$7500} <br /> "' Agent(for the contractor)or Power of Attorney(for the own�r)would b�someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Servioe Upgra�es A/C FencES(PIoUSUnt�yl��oiage) <br /> Drivoweyo-P6o1 over Countor iS on publio ro�waye.,nceda FiOW1 <br />