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-_ --__ Lity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received sbea4ci�o+ne � C-0M <br /> Phone Contact for Permitting - <br /> Owner's Name Owner Phone Number q{o <br /> Owner's Address �— J Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS o 3 LOT# <br /> SUBDIVISION V- Y S�ARCEL ID# 3S' � Z ONO o106b 0 l <br /> (OBTAINED FROM PROP TY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN = DEMOLISH <br /> INSTALL REPAIR . <br /> PROPOSED USE SFR 0 COMM lJ OTHER <br /> TYPE OF CONSTRUCTION ' BLOCK Q FRAME STEEL [� <br /> DESCRIPTION OF WORK 1 rsdt "S <br /> BUILDING SIZE SQ FOOTAGE 1`Mv-S1 f1F HEIGHT <br /> =BlJlLDING $ VALUATION OF TOTAL CONSTRUCTION <br /> Ivy <br /> =ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C. <br /> =PLUMBING $ <br /> =MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> =GAS ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER / COMPANY C <br /> SIGNATURE REGISTERED .Y/ N FEE CURREN <br /> � Y/N <br /> Address License# i( .(4 ,�9 C&2 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE --- REGISTERED / N FEE CURREN Y I N <br /> Address IS OQ 3 License# C, o 6 <br /> PLUMBER COMPANY <br /> SIGNATURE .-''► � REGISTERED Y/ N F5ETCURREN 7IN <br /> -Address. �.3ya b C h �� SJ-2 1}a s1 t License# CP CJ�Z 3- )3 <br /> MECHANICAL /( COMPANY i r S <br /> SIGNATURE REGISTERED /'N FEE CURREN Y I N <br /> Address J`t�.� f v ' License# GCS 33 W <br /> OTHER / COMPANY <br /> SIGNATURE -' REGISTERED Y/ N I FEE CURREN Y/N <br /> Address G 3 License# I.c` 1.3 �� <br /> ILLLLIIiilllllllLlli.lILILII ! !tllllllllllillllilllillill ! lillllillll <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 lei T..■ • r ■ • ■ ■ r ■ ■ • r r r ■ ■ r ■ ■ ■ r ■ ■ -r r ■ a r r r r ■ r r ■ ■ r r r r r r ■ ■ ■ ■ ■ ■ ■ ■ r r ■ ■ ■ ■ r ■ i <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, (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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />