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a,s-iuU-UUZU Uty of Zephyrhills Permit Application Fax-8137-780-0021 <br /> Building.Department <br /> Date Received <br /> Phone Contact for Permitting (.• ) <br /> Owner's Name. 'l Z-b J �.° 7 ' !! Owner Phone Number <br /> Owner's Address ?�j% l 1 J % G Owner Phone Number <br /> -Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,• S `" lei ��� � IcL ✓/✓ LOT# <br /> SUBDIVISION I Lj -� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED a NEW CONSTR H <br /> ADD/ALT SIGN �] = DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER I TIP 7,7257, n 6 T <br /> TYPE OF CONSTRUCTION = BLOCK <br /> y FRAME /= STEEL _ <br /> DESCRIPTION OF WORK ����G`L L/ �L �� `�L7 ✓ YU <br /> BUILDING SIZEDI SQ FOOTAGE® HEIGHT/ <br /> =BUILDING $ ; / / 00 VALUATION OF TOTAL CONSTRUCTION <br /> ! ( <br /> =ELECTRICAL $ z/v1,OD AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> =PLUMBING $ 7, <br /> =MECHANICAL $ ��p ' q I VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> BUILDER COMPANY IS <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER 'COMPANY <br /> SIGNATURE i REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE / REGISTERED Y/N FEE CURREN /Y/N {� <br /> Address (/�/ f ��� License# <br /> # 1I119.1 8iilt � i€l. <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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required.(A/C 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />