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e�a-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • euilding Departmeni <br /> Date Received �_ � 3 <br /> Phone Contact for Permittin <br /> Owners Name � Owner Phone Number <br /> Owners Address w�n� 0 � Owner Phone Number <br /> Fee Simple Tttleholder Name Owner Phone Number <br /> Fee Simpte Titleholder Address <br /> JOB ADDRESS ��� � � �' � S LOT N � <br /> SUBDIVISION S PARCEL ID�t O ' r' ZJ �� —d <br /> � (OBTAINED FROM PRO ER Y TAX NOTICE) <br /> WORK PROPOSED I� NEW CONs7R e ADD/ALT Q SIGN Q Q DEMOLISH / <br /> j� INSTALL REPAIR I �� <br /> PROPOSED USE Q SFR Q COMM 0 OTHER iL <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME Q STEEL Q /1 O Q�u ' 1 <br /> DESCRIPTION OF WORK �n )J't� �VU v�c% '— cS5 GL--�S C <br /> �k1y�+ s �� <br /> ' , � �G� `� }�� / <br /> BUILDING SIZE S�FOOTAGE HEIGHT <br /> �� <br /> �BU $ <br /> � VALUATION OF TOTAL CONSTRUCTION �/l <br /> y /�/d� �C7/�?,Q/� ! <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY� W.R.E.C� <br /> � .7i�� J r� ;- <br /> PLUMBING $ � �.y� � <br /> �' �`� ��,��Eg <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �_���s�� <br /> �/ -- e <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � . <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO ` <br /> 0 I�6� �� . <br /> I- � <br /> BUILDER COMPANY f\ S V Y�.' V <br /> SIGNATURE REGISTERED / N FEE CURREA /N <br /> Address License# ` 1�� <br /> L 0. <br /> �� <br /> ELECTRICIAN COMPANY � YV� � �C �P��✓ �( � ��,yg <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N '7,-�T"�� <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# <br /> IIIIIIIIIIIIIIItllltlllllllllllllllllllllllllllllllllllllllltllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2j sets of Building Plans;(1)set of Energy Fortns;R-0-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 8 1 dumpster,Sfte Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> Fill out applicalion completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (copy of conVact 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 />