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, � a�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ` Building Departmenl <br /> Date Received Phone Contact for Permitting - <br /> n /��[/J /_ /.� <br /> Owner's Name o ��rT C. V/� Owner Phone Number �(�� V <br /> /'''' �p i � n � <br /> Owner's Address J �. /l. tS Owner Phone Number / <br /> Fee Simple Titleholder Name �^�� Owner Phone Num6er � � � Q-/ <br /> �—= <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 5�i v r �lC.li �% LOT# � <br /> SUBDIVISION I I •� � PARCEL ID#I.S� (Or��✓OI D'O��DD�O�L.D <br /> (OBTAINED FROM PROPERTYTAX NOTC� <br /> WORK PROPOSED e NSTALLSTR e REPAIR � SIGN � Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK '� • OD/'m�il, (QI O L ` •N� � �'^� <br /> � �,�5 � c��,e 5 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDINGlR(�JQr $ SD.00 VALUATION OFTOTALCONSTRUCTION <br /> �cX•Vi <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE RECISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> IAddress License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Address License# <br /> . � � /�� ///�•,_,/ ,� <br /> OTHER COMPANY 3' • IJ����jY V <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y i <br /> Address �7 � V O � � ' �7��I� License# l�l� / ✓ �I <br /> Iltlllltlllllllllllllltlllllllll IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <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,Stomtwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 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 8 1 dumpster Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> *"•PROPERTY SURVEY required for all NEW construction. <br /> Directions:• � <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner auchorizing 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 />