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� � e�3-�aaoozo City of Zephyrhills Permit Application Fax-813-780-0021 � 0 <br /> Building Department <br /> Date Reeelved �o•Z"�7 phoneContactforPermllUn TJ�� `I L I - �� 'GS <br /> Owners Name �, riX L�Y1/.��v` OwnerPhone Number €'7 �^����1� b� <br /> Ownera Address ���� �� � ������ �ner Phone Number ��_� <br /> Fee Simpte Titleholder Name Owner Phone Number <br /> Fee Simple TlUeholderAddress <br /> JOB ADDRESS ��� �� LOT# � <br /> SVBDIVISION ���5 PARCELID# O���r �'�� ��� ' ����` �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSiR� ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION �] BLOCK � FRAME Q ` STEEL Q <br /> DESCRIPTION OF WORK I C C���+ � ��%� C� � �r� �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ I - �^ VALUATION OF MECHANICAL INSTALIATION <br /> ��PV6 <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y! N FEECURREN Y/N I <br /> Address License S <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N I <br /> Address License# I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License* <br /> MECHANICAL COMPANY GD�✓l @� P'`D� <br /> SIGNATURE REGISTERED N FEE CURREN Y/N <br /> Address -{� �Zr �-�'�s Lfcense# t,.,IT { 1 . � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERFD Y/ N FEE CURREN Y/N <br /> Address License S <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllltllltlltllllllll <br /> RESIDEN7IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Pertnit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster,Site Work Pertnit Tor subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a L'Ae Safety Page;(1)set oi Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 6 1 dumpster.Site Work Pertnit for all new projects.All commerclal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ell NEW construdion. <br /> �' <br /> Dlrectlons:• <br /> Fill out application completely. <br /> Owner S Contractor slgn back of apptication,notarized <br /> If aver S2500,a NoUce of Commencement Is required. (A/C upgrades over 57500) <br /> " Agent(for the conVaclor)or Power of Attomey(for the owner)wnuld be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs K shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) <br /> Driveways-Not over Counler if on public roadways..needs ROW <br /> j <br /> I <br /> � <br />