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s��-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> • Date Received ,�.. �- phone Contact for Permitting � � <br /> � <br /> Owner's Name ►/Y)?/V i/�i)6� Owner Phone Number <br /> 1 OwnePs Address �/Y�C(,�� < <�N Owner Phone Number <br /> �1/YG < < _ 1 <br /> Fee Simple Titleholder Name Owner Phone Numher <br /> Fee Slmple Titlehol r A <br /> JOB ADDRESS ° ✓ / / � G LOT# � <br /> SUBDIVISION PARCEL ID# D,� � �j'���Q� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER '� <br /> TYPE OF CONSTRUCTION Q BLOC�K Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK (/Y .Y/.S � 3 <br /> BUILDING S12E SQ FOOTAGE� HEIGHT <br /> ! <br /> QBUILDING $ ' /r� VALUATION OF TOTAL CONSTRUCTION <br /> v <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q .R.E.S�7� <br /> /�r `'����, � <br /> �PLUMBING $ �!��I��J �� <br /> `� [ �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER � ��J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO„_ _ __ <br /> i <br /> � <br /> BUILDER � 1 C��Y � O Id_/� <br /> SIGNATURE � �L � ��E67sTEaeo Y/ N FEE CURRE��'Y/N <br /> Address f ��� icense# � � �� <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 COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License�i <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIItlltllllllllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new cons[ruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcfion Plans,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities 8,1 dumpster;Site Work Permit for subdivisionsflarge proJects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPER7Y SURVEY required for all NEW construction. <br /> Dvections:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a NoNce of Commencement is requlred. (A/C upgrades over$7500) <br /> . " Agent(for the contractorj or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (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 /> L <br />