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o"IS-itru-UUZU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved Phone Contact for Permittin <br /> rrrrrrrrrr m <br /> Owner's Name ��/ irr 1✓J/V 1�Y '. Owner Phone Number <br /> Owner's Address6, "l 7� r Owner Phone Number <br /> Fee Simple'-Titleholder Name Owner Phone Number <br /> Fee Simple1111eholder AddressFS;q2 JOB ADDRESS 1 T �3^ l LOT# <br /> SUBDIVISION PARCEL ID#. <br /> (OBTAINED FROM PROPERTY-TAX NOTICE) <br /> WORK PROPOSED. R <br /> NEW CONSTR 8 ADD/ALT C� SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE = SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q.� BLOCK = FRAME 0 STEEL =. <br /> DESCRIPTION OF WORK d�� t1 J /1- <br /> $UILDINGMZE SQ FOOTAGE HEIGHT <br /> ILDlNG $ ®1) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ U AMP.SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING !_ j 5 <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING' 0 SPECIALTY OTHER <br /> FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER i COMPANY <br /> ,SIGNATURE REGISTERED Y/ W. FEE CURREN Y!N <br /> i <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N ' FEE CURRER- <br /> Addr®ss License# - 1 <br /> PLUMBER-. COMPANY <br /> SIGNATURE REGISTERED Y J N:­ FEE CURREN <br /> Address License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y.J N FEE CURRER Y/N <br /> Add <br /> rose . License# <br /> OTHER_x . :COMPANY J'&/ fllA;G <br /> SIGNATURE REGISTERED I Y/ N FEE CI RR Y/N . <br /> Address 1� 3 'C License# �/_L- <br /> - - <br /> , ;'REiDEN )AL Attach(2) ?ot•Plans;(2)setsof Buildin _ <br /> WPem, ) t for new:constructon,. <br /> Minimum u days after submittal ate: Required onsite,Construction Plans,Stormwater Plans.w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivislonsAarge projects <br /> -COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Farms.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 /> ****PROPERT-Y SURVEY required for all NEW construction. <br /> Directions: <br /> -Fill out application completely. <br /> Owner&Contractor slgn:back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> *" Agept.(for•the contractor),or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> 0.VER THE.COUNTER PERMITTING (copy of contract required) <br /> Rerobfs if,shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> ,.Driveways-Not over Counter if on public roodways..needs ROW <br /> i <br />