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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �, - ' Building Department y <br /> Date Received ` "- • Phone Contact for Permitting � ��C� —� � <br /> Owner's Name � U � � Owner Phone Number I {� ' <br /> Owner's Address � L � ! Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS �� LOT# �� <br /> ;: SUBDIVISION PARCEL ID# � "�� �l!�(,Q � O�A'� <br /> i'j (OBTAINED FROM PROPERTY TAX NOTICE) • <br /> �� WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> 1 PROPOSED USE Q� SFR Q COMM 0 OTHER <br /> (� TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL, Q <br /> � � � <br /> �� DESCRIPTION OF WORK �� � F � <br /> � ' <br /> : BUILDING SIZE SQ FOOTAGE � � HEIGHT <br /> � <br /> , QBUILDING $ V TAL CONSTRUCTION <br /> # ; d��. �� <br /> i� � <br /> � � ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C: <br /> � <br /> � QPLUMBING $ , <br /> ; <br /> A <br /> �� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � /t <br /> . � �� : I��'�f( <br /> ' QGAS Q ROOFING Q SPECIALTY 0 OTHER � <br /> i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> � <br /> i <br /> � <br /> X S[.1 h(.rl S2 C- � �nn <br /> � BUILDER COMPANY � 9YL� � ��vu j�S <br /> 4 SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address ��j V e - ,�Q /�r License# � C ��- 8' <br /> { <br /> �� ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N � FEE CURRE� Y/N ' <br /> � , <br /> Address License# � <br /> � PLUMBER - COMPANY ' � ' <br /> ; SIGNATURE REGISTERED � Y'/`N FEE�CURRE� Y�/�N' ' <br /> i � <br /> � Address � License# .. - <br /> � MECHANICAL. � _ COMP.ANY - <br /> 1, SIGNA'LURE - REGISTERED Y/•N- � ��FEE CURRE� •,,Y/N � ,;, <br /> ' Address License# <br /> � OTHER� C.OMPANY <br /> ' SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N, <br /> I-. <br /> �r Address License# <br /> ��• i . . . . , , .. . <br /> ;`� RE$IDENTIAL' �`AttacFi(2)'Piot Plans;(2)�sets'of Building Plans;(1)set of E'nergy Forms;:R=O=W.Rermit'for new wnstruction, <br /> 1; Minimum°teri�.(�1.0)'working days affer sutimittal date. Required onsite;-Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> - Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects - - __ - <br /> �y_ COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety,Fage;(1)set of Energy Forms.R-O-W Permit for new co.nst[uction. <br /> _ Minimum ten.(10)•working.days after submittal�da.te. Requi�ecJ onsite,Constructian.Plans,Stormwater Plans w/Silt Fence installed, <br /> `� Sanitary Facilities&'1`dumpster.Site Work Permit for all�new p�ojects.All commeroial requirements must meet compliance <br /> '=' - SIGN PERMIT Attach(2),sets of Engfneered Plans. , <br /> *"""PROPEEtTY,SIJRVEY 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 Powerof Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (copy of conVact required) _. <br /> Reroofs.if shingles Sewers Service�Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />