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City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting �S�eGUCh alnk o � <br /> Owner's Name ( Owner Phone Number <br /> Owner's Address / 3�P 3T Owner Phone Number <br /> Fee Simple Titleholder Name . 'fawner Phone Number <br /> Fee Simple Titleholder Address ( t <br /> JOB ADDRESS J5I�Q !! y - e t � LOT# - <br /> SUBDIVISION PARCEL iD# Z�S Z� 61M W20L '2 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR( ADD/ALT SIGN DEMOLISH <br /> E5 INSTALL a REPAIR. <br /> PROPOSED USE SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL <br /> DESCRIPTION OF WORK YvPw 75` F' <br /> BUILDING SiZE SQ FOOTAGE Z%Z Y�3-` HEIGHT <br /> =BUILDING $ UC) VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. <br /> QPLUMBiNG 1$ ��� . <br /> =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> 5 6tfa C�� <br /> =GAS [ ROOFING [� SPECIALTY u OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO <br /> Fki4 ... ..... . <br /> ' r ■ ■ ■ ■ ■ r ■ ■ r ter/■-�■ ■ ■ ■ • ■ r .■ ■ • ■ ■ s ■ ■ ■ ■ ■ • ■ ■ ■ 11 ■ ■ s•�.•,•_e__i__[_-1—i_t_i_7 <br /> BUILD itr / �pr. � C <br /> ER OMPANY lJ Ir1 <br /> SIGNATURE , �••� REGISTERED Y/ N■ FE CURRER Y/N /r <br /> Address �2 O Y .� License# Fz co 3 I t) <br /> ELECTRCGtAN ,J�// COMPANY . SrJ <br /> SIGNATURE -21. '� REGISTERED Y/ N FEE CURRER Y N <br /> Address 13100 3t Jbitins 0 License a <br /> # Lc - 0 03T 1 <br /> COMANY <br /> SIGNATURE <br /> REGISTERED Y.I N FEE CURR R I N <br /> Address N- ,-S36$i- License# C <br /> MECHANICAL . ,,� J COMPANY ht'SSly ' A-ve <br /> SIGNATURE ..■'tio REGISTERED / N FEE CURRER Y I N <br /> Address- C•t W $ License# I Ckr C633 !�V <br /> OTHER COMPANY c- <br /> SIGNATURE "`fir REGISTERED Y/ N FEE CURREN YIN Address License# �� 2 5 3 33 <br /> 11liIiI1ii11ltI.I1lllilllliillllllil11.111lIlilii ! ! i ! ! ilIIIlllilillll <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. (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 />