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s�saso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ;, : • Building Department :�. <br /> Date Received "'�� <br /> Phone Contact for Permitting • a — �- <br /> Owner's Name ��/ �J Owner Phone Number / i�`/ � <br /> Owner's Address J �'� Owner Phone Number <br /> Fee Simple;Titleholder Name � Owner Phone Number <br /> Fee Simple!Titleholder Address <br /> ' � �JOB ADDRESS � LOT# <br /> i <br /> SUBDIVISION PARCEL ID# 3 Q/ / <br /> � (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROP.,OSED USE Q SFR Q COMM � OTHER �/ c @ <br /> TYPE':OF CONSTRUCTION Q BLOCK - Q FRi4ME � STEEL Q <br /> � DESCRIPTION OF WORK V C � � �rf rty,,` <br /> t <br /> i <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT • <br /> OB�UILDING , $ VALUATION'OF TOTAL CONSTRIJCTION <br /> ; � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ; <br /> OP�LUMBING $ <br /> ; <br /> i <br /> �MECHANICAL $ ��� VALUATION OF MECHANICAL INSTALLATION <br /> Q,GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i <br /> � .BUILDER ; � CORlIPANY - — " <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Addre'ss License# � <br /> , ;� f - <br /> _�'ELECTRICIAN COAAPANY <br /> _ SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ; - <br /> ' Address � License# r <br /> � <br /> P.Ll1MBEjR.;. COAAPANY � <br /> SIGNATURE REGISTERED Y.•/'N. FEE CURRE� Y/N <br /> Address - License# � <br /> `",MECHANICAL ' . COMPANY �G <br /> SIGNATURE' � REGISTERED N � , FEE CURRE� /N - <br /> Address�° /v Q License.# <br /> ,>;'s.:. .; .: , <br /> .` OTHER�" '�;. '• `COMPANY <br /> '�SIGNATURE�.� �_ ' REGISTERED Y/.N FEE CURREK Y/N <br /> ... }; , t ,� . . . <br /> Address�: - - ,_. . � � - , License# <br /> ,":`RESIDENTIAL i�,:; :Attaah;(2):Plot:-P.lans;;(2):sefs of�Buildirig�Flans;(1•)`set'of�Energy'Fomis;R-,O-VV Permit for new.constiuction,� <br /> ,, : i:�,:Minlmum.�ten,(�10)working;days'.afte��sutimittal�date.'RequireiJ`onsite;Gon`stn7ction Plans,"'Storinuvater Plans w/Silt Fence installed, <br /> _ ... �� �"Y� = Sanifary;Faciliues�,���1��dumpste�;,Site;;Wor,ic;Pecmit for.sybdivisions/large'p�ojects - ` �"' �° - � -- <br /> ;�..COfl�MERCIAL Attach(2f`aompleCe sets of'Building Plans�plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon. <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"fo��all�new p�ojects.All commercial requirement,s must meet compliance <br /> �::�SIGN'PERMIT �Attach(2j sets�of;Englnee�ed Flans:;�-.- <br /> - ""PROPERTY SURVEY required for all NEW construction: <br /> '_4•'_' "_ _ " " _ ' <br /> Y�Dl�ections:� ,.; . , <br /> �Fill out;application completely. , <br /> ' Owner'&Contractor sign back of application,notarized <br /> If over:$2500,a Notice.of Commencement is requtred. (AIC upgrades over$7500) <br /> "" Agent°(fo�'th'e cont�actor)�or`Power of'Attomey(for ttie owner)would be someone with notarized letter from owner authorizing same <br /> �`=:OVER:THE COUNTER,PERMI7'TING. ,.(copy.of-contract-required) <br /> 'Reroofs if sfiingles Sewers Servlce Upgrades A/C Fences(PIoUSuroey/Footage) <br /> - Driveways-Not over Counter if on public roadways..rieeds ROW <br />