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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permit... P%_r?., )�Iscl CYO <br /> Owner Phone <br /> one Number <br /> Owner's Name <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# <br /> SUBOMSION kNj e r-C4rj C-) I PARCEL 10#1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH <br /> R INSTALL REPAIR <br /> PROPOSED USE SFR n. -(.Olvlkt <br /> TYPE OF CONSTRUCTION r7 BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK L Vnk=_nnNr_A <br /> BUILDING SIZE I SQFOOTACTE = HEIGHT <br /> UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL III AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C, <br /> M, <br /> EPLUMBING 1$4753ZO_7 I <br /> =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING Q SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> SUfLOCIR, COMPANY <br /> SIGNATURE I REGISTERED I YIN FEE CURREN L_jLN J <br /> Address I License# <br /> ELECTRICIAN COMPANY = <br /> SIGNATURE REGISTERED I YIN FEECURRFN <br /> Address License# 7 <br /> PLUMBER COMPANY C.- <br /> SIGNATURE FEECURREN— L_YLN J <br /> Address �,Ac hnmpa License# <br /> MECHANICAL COMPANY 1 <br /> SIGNATURE REGISTERED Y/ N FEE CURREN MAJ <br /> Address I License# <br /> OTHER COMPANY = <br /> SIGNATURE REGISTERED I Y/N FEE CURREN <br /> I License# <br /> Adaress 1 <br /> RESIDENTIAL Attach(2)viot mans;(z)sets or building mans,(1)set or hnergy roams;R-u-vv I-ermit tor new consnotion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wf Sift Fence installed, <br /> Sanitary Facilities&I dumpster,Site Work Permit for subdivislons/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/Slit Fence Installed, <br /> Sanitary Facilities&I dumpster.Site Work Permit for all new projects.Al 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 /> Owner&Contractor sign back of application,notarized <br /> Waver$2600,a Notice of Commencement Is required. (AIC upgrades over$7500) <br /> Agent(for the contractor)or Power of Attorney(forthe 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 />