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\ <br /> s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � Building Department , <br /> Date Received " Phone Contact fo�Permitting — <br /> Owner's Nam� Owner Phone Number 2. " <br /> Owner's Addres `3 ,�`�7$ /2.�& _ -� Owner Phone Number <br /> , <br /> Fee Simple Titleholder Name Owner Phone Number <br />, Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# � <br /> :`i� SUBDIVISION PARCEL ID# <br /> ;� � (OBTAINED FROM PROPERTYTAX NOTICE) <br /> ' WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> +j ! INSTALL REPAIR ' ' <br /> �� PROPOSED USE Q SFR , Q COMM � OTHER <br /> �f TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL, Q <br /> �j DESCRIPTION OF WORK � ��� �����- �C6�i"11�1 Li N 6C. L�rj� � �De� <br /> �i t <br /> i BUILDING SIZE ` T � <br /> �� 4 <br /> � i BUILDING ' a $ �r �p VALUATION OF TOTAL CONSTRUCTION <br /> �, i "L��• �' <br /> � QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.- <br /> � QPLUMBING $ , <br /> � ! <br />' ? QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ? <br /> , OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> t <br /> � <br /> r <br /> � BUILDER ',1� Q��p� � COMPANY <br /> , SIGNATURE ✓✓`�R �� REGISTERED Y/ N FEE CURRE� Y/N <br /> . <br /> � Address License# <br /> � <br /> � ELECTRICIAIV COMPANY <br /> � SIGNATURE REGISTERED Y'/ N FEE CURRE� � Y/N' <br /> d ; _ <br /> Address � License# �— <br /> PLUMBER , COMPANY ' <br /> i SIGNATURE REGISTERED : Y'/' N � FEE CURRE� Y�/N ` <br /> � . <br /> � Address . License# ; - � <br /> � MECHAWICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N. - FEe cu�ten - .,Y/N .�; . <br /> Address _ , License# <br /> , OTHER COMPANY <br /> ; SIGNATURE REGISTERED Y/ N FEE CURRE� Y./N <br /> : <br /> �' Address License# <br /> �F: - . <br /> i;�•_, RESIDENTIAL ��Atta'ch'(2)Plot Plans;'(2)sefs of Building Plans;(1)set of.Energy Forms;;R-O=V.U.Permit'for new construction, _ <br /> ;'�' Minimum=ten•.(10)'.working days'aftersu6mittal date. Requireii onsite;�ConstriictionaPlans,Stormwater Plans w/Silt Fence installed, <br /> - ;;� Sanitary-Facilities&1 dumpster;Site Work Permit for subdivisions/large projects --- " - - <br /> _ COMMERCINL Attach(2)complete sets of Building Plans plus a Life Safety Page;(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/Silt.Fence installed, <br /> „ Sanitary Facilities&1'�dumpste�.Site Work Permit for a�ll'hew p�ojects.All commeroial requirements must meet compliance � � <br /> SIGN PERMIT Attach(2);sets of Engineered Plans. , <br /> ""'PROP<Ef27Y.SURVEY required for all NEVV construction. <br /> �._ <br /> Directions: <br /> Fill out applicatian 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)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if sh'ingles Sewers Service�Upgrades-A/C Fences(Piot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />