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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for PermutingL O Ql <br /> . . .Owner's Name Owner Ph...N.m bar <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Ph--me <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS CA CX&62,2 1 1 LOT# <br /> SUBDIVISION k'-,J e lrG C—) I PARCELID#r <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTIR M ADDIALT = SIGN r7 M DEMOLISH <br /> R INSTALL " REPAIR <br /> PROPOSED USE SFR -w w an-Er, .1 <br /> TYPE OF CONSTRUCTION 0 BLOCK = FRAME STEEL <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> . . . . . . . . . . <br /> =BU'[L'D'INI3. . . . . . VALUATION OF TOTAL CONSTRUCTION <br /> [ELECTRICAL AMP SERVICE Q PROGRESS ENERGY W.R.E.C. <br /> G2PLUMBING 18 <br /> e <br /> ':R� <br /> r-7MECHANICAL F, VALUATION OF MECHANICAL INSTALLATION <br /> =GAS = ROOFING 0 SPECIALTY = OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> assusaftama . . . . . . . . . . . . . . . . . . . . <br /> COMPANY I <br /> SIGNATURE REGISTERED I YIN FEE CURREN L_lj N J <br /> Address . I License# <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED I Y/N FEE CURREN LUN J <br /> Address License#F_ <br /> PLUMBER COMPANY <br /> SIGNATURE. FEE CURREN �/N <br /> Address <br /> COM <br /> SIGNATURE REGISTERED I Y/N FEE CURREN YIN <br /> MECHANICAL PANY = <br /> Address I License# <br /> OTHER COMPY <br /> SIGNATURE REGISTERE RED I YIN FEE CURREN I YIN <br /> Address I M License# _7771 <br /> RESIDENTIAL Attach(/)Plot Plans;(2)sets or bulkilng Plans-,(i)set of triorgy i-orms,x-u-vv Hermit tor new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans W Slit Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonstlarge projects <br /> COMMERCiAll. Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forme.R-O-W Permit for now construction. <br /> Minimum ten(10)working days after submittal data. Required onsite,Construction Plans,Stormwater Plans w/Sift Fence installed, <br /> Sanitary Facilities&i dumpster.Site Work Permit for all now 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Fill! <br /> Owner&Contractor sign back of application,notarized <br /> ff over$2600,a Notice of Commencement Is required. (AIC upgrades over$7600) <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 A10 Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways-needs ROW <br />