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c e�s-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> „� :�.� Building Department >• <br /> I Date Received ` /� � ''� Phone Contact for Permittin � — �� <br /> I I 9 <br /> Owner's Name SCd� 1 `�1 (T Owner Phone Number v� — � — o u� <br /> Owner's Address ���� s'�'G�'i� Owner Phone Number <br /> Fee Sir►iple Titleholder Name {�`,W V��y � �" e l�� t \ Owner Phone Number <br /> Fee Slmple Titleholder Address � +� ! �-�1 <br /> ' JOB ADDRESS S � �� ���'�T LOT# � <br /> ; <br /> ;; SUBDIVISION PARCEL ID# <br /> t,s ; (OBTAINED FROM PROPERTY TAX NOTICE) <br /> q`� WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> � INSTALL REPAIR <br /> �� PROPO�SED USE Q SFR ,. Q COMM � OTHER <br /> �{ TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> l j ( <br /> j DESCRIPTION OF WORK s �� c7 "T 4�`(�IF �� <br /> i� Y 3 /� <br /> �, BUILDING SIZE � p� SQ FOOTAGE � HEIGHT <br /> �j QBUILDING �f i1,n_� � VALUATION OF TOTAL CONSTRUCTION <br /> II ; �.1CJ, <br /> S ` <br /> �� QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C: <br /> � QPLUMBING $ r <br /> � �� <br /> �I OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ';; i <br /> � ' 3� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER ` �� <br /> i �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � . <br /> I <br /> t <br /> G <br /> : � <br /> � BUILDER COMPANY <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> , <br /> 4 <br /> iAddress 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 /> � Address License#- . � <br /> � MECHANICAL , COMPAMY� - <br /> SIGNA'LURE REGISTERED Y/�N: ,� FEE CURREI� _ ,':Y:/N � <br /> � , ,, - <br /> Address � License# <br /> OTHER._ f � COMPANY <br /> SIGNATURE U� REGISTERED Y/ N FEE CURRE� Y/N. <br /> Address 5�� /'� � ��P � � License# <br /> ��� - <br /> �-� . , . _ . . . . � ..� . _ : ., <br /> `�� RESIDENTIAL'� �Atta:cFi 2 Plot Plans; 2 sefs of'Buildin Plans; 1 set of Ener Forms;`R=O-W.Permit"for new construction, <br /> t ..�.) ... �� )' 9 � ) 9Y -, • <br /> Miriimum-ten.(:10)�.working days'aftersubmittal date. Required bnsite;-Constri�ction-Plans,Stormwater Plans viw/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit 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 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"dumpster.Site Work Permi4 for all�new projects.All commercial requirements must meet compliance <br /> . -.SIGN PERMIT Attach(2),sets of Engineered Plans. ,. <br /> '•"•PROP.EF27Y.SlJRVEY required for all NEW construction. <br /> Directions: <br /> Fill out application 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 shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW � <br />