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s�aaso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � • Building Department <br /> �, , . <br /> Date Received Phone Contact for Permitting — <br /> n '_��(� � <br /> . Owner's Name �(✓ Owner Phone Plumber O <br /> Owner's Address J � V l 1�G Owner Phone Number <br /> Fee Simple Titleholder Plame Owrner Phone Number <br /> ; � , <br /> Fee Simple Titleholder Address <br /> '; JOB ADDRESS (�� P ' LOT# � <br /> ( SUBDIVISION I �G G���e PARCEL ID# �✓a � �� O C�� �O��� <br /> i (OBTAIPIED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED . NEW CONSTR ADD/ALT - SIGN Q Q DEMOLISH <br /> l e INSTALL B REPAIR <br /> t T E <br /> PROP..OSED USE Q SFR Q COMM 0 O H R . <br /> TYPE`OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK Cf ` � 1� ` /1 c��'���� l �n^'1 � �� <br /> � BUILDING SIZE r , Gl FOOTAGE !f HEIGHT •. <br /> QBUILDING $ VALUATION`OF TOTAL CONSTRUCTION <br /> ! QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> { OPLUMBING $ <br /> � ,� � 93 <br /> ' QMECHANICAL $ ALUATION OF MECHANICAL INSTALLATION �" � � <br /> , �C <br /> � QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i <br /> � <br /> � <br /> � <br /> ; <br /> � BUILDER COMPANY <br /> I SIGIdATURE REGISTERED Y/ N' FEE CURRE� Y/N <br /> � r4ddress License# I <br /> ELECTRICIAN COMPANY <br /> I SIGfdATURE REGISTERED Y/ N FEE CURREA � Y/N <br /> � <br /> ` Address License# � <br /> ( PCUMBER., COMPANY- � <br /> SIGNi4TURE REGISTERED Y/ N� Fee cuw�en Y/N <br /> � - <br /> � . /Address - " License# <br /> i ' MECHi4NICAL �/ COMPANY G�IIJ�d� � ( �� <br /> , SIGNATURE'' REGISTERED , Y/ FEE CURRE� , /N i <br /> � � ; ,. � <br /> i Address�' � G�{ �° i/ ��� �C 3,35 License.# � l <br /> � �;�� � <br /> : OTHER=- `"- � COMFANY <br /> i `'SIGNATURE�:: _ � � REGISTERED Y/N FEE CURREK Y/N <br /> � r" , z� ' - ' _ • <br /> ' Address:•. � - License# <br /> '=M1��:..�. _ . <br /> �`-'.RESIDENTIAL-.^?;'Attacli;(2)-PIot;P.lans;'(2):sefs<of�Building'Plan§;(1�)`set of�Energy'Foriiis;R=,O-W Permit for new,construction,. <br /> 1 . y: ,3�-:.::a:.;-;.Minimum.ten;(;1Q)wockingidays afte�sutimittal:clate.�"Required onsite;�Con`struction Plans;Stormu"vater Plans w/Silt Fence installed, I <br /> _i _� '� � � 3anitary;Facilities_&,y1�.dumpster;°S,it Wo[k Fermit for:.subdivisions/large`p�ojecfs ` � ,_I <br /> � '^�•:COMMERCIAL Attacfi(2)�complete sets of'Building Plans plus a Life Safery Page;"(1)set of Energy Forrns:R=�-V�i-Permit-fo�-new constPuciion.-==-�~ <br /> 1 Minimum ten(10)vuorking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> � " SaNtary FacilfUes&1 dumpster.Site Work Permit'fo�`all-new projects.All commercial requirements must meet compliance <br /> ��`�.�;SIGN:PERMIT `AttacFi(2)sets�of;E,ngineered Plans.•=� :� <br /> � ;' "••"PROPERTY SURVEY required for all:NEW construcUon. <br /> � - - -- -•� - <br /> ' '-Dl�ectlons: . .. : • . <br /> ' '�� FilP.out application completefy. <br /> � O.wner&Contractor sign back of applicaGon,notarized <br /> � If bver$2500;a Notice•.of Commerscement is required. (A!C upgrades over$7500) <br /> ;"� Agent(for4h'e'cont�actor)'or Power of'Attomey(for'tFie owner)would tie someone with notarized letter from owner authorizing same <br /> `<OVER THE COUNTER,PERMITT,ING'.. (copy of contract-required) ' ' ` ' - <br /> ;':'Reroofs if sliingles Sewers - Service Opgrades.A%C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />