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��-7so-oo2o City of Zephyrhills Permit Application �� FaX-a�saso-oo2� C <br /> Building Department � 1 <br /> / - 1, ` <br /> reived / — �-f � phone Contact for Permitting . 3�4 ��� -3�7� �������I <br /> <�s Name �2 i� � Owner Phone Number �f 1 0 b J�� ( <br /> / <br /> ii / // <br /> ner's Address ��lP i � hCft4 �Fl� D� Owner Phone Number <br /> /� /' <br /> fee Simple Titleholder Name (� Owner Phone Number <br /> �Fee Simple Titleholder Address 7(0 � � �r � � <br /> JOBADDRESS U,� 1,7��� � �'�� L�� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> ��-; (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADD/ALT 0 SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ��.Ui , n " �5� '� ��'�' ����' V`�- <br /> BUILDING SIZE SQ FOOTAGE �ro 7J HEIGHT a2 �D�� j �' � <br /> r <br /> �BUILDING $ ��y�,f,'��, VALUATION OF TOTAL CONSTRUCTION ��� <br /> , ( �� ��r <br /> OELECTRICAL $ AMP SERVICE OQ PROGRESS E�RGY Q W.R.E.C. <br /> � sap 4�- Q <br /> �PLUMBING $ �1�j'�z� O� ��ff�. r7�'�T Y_ Ih,� , v� ��- D�=,� <br /> �� C � ��c� �Q f� <br /> � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� f�p'� <br /> ���/�� ��Y�fF� <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER �" ��'� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO � �J���� <br /> 0 � /" <br /> BUILDER � .� COMPANY <br /> SIGNATURE UU� � I 3U�� ' REGISTERED Y/ N FEE CURRE� Y/N I <br /> Address License# '� <br /> ELECTRICIAN C/>,D �,� �� COMPANY <br /> SIGNATURE �•��t��— REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER ,�p,.� 6 COMPANY <br /> SIGNATURE �J�' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL y� COMPANY <br /> SIGNATURE �' " � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER �� /.� .�� COMPANY <br /> SIGNATURE I��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Permit 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 Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ****PROPERTY SURVEY required for all NEW construction. <br /> • • • • • • • • • • • • • • • • • :: •�' 1 1 1 f 1 f 1 1 1 1 1 1 • • • 1 1 1 1 1 1 1 1 { 1 1 f { f 1 1 1 1 • • • • • • • • • • <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized I <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW j <br />