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s1;s-1aU-UUZU City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Pei <br /> rmitting€ <br /> Owner's Name ( / �. �U�7' ' ✓— Owner Phone Number <br /> Owner's.Address , �12). Owner Phone Number <br /> 77 <br /> Fee Simple Titleholder Name Owner Phone.Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS r- ' ,l U l S G' ?- 1 /�1 � ✓ LOT# <br /> SUBDIVISION �jv PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT = SIGN DEMOLISH <br /> = INSTALL e REPAIR <br /> PROPOSED USE SFR 0 COMM OTHER 6 Y . <br /> TYPE OF CONSTRUCTION = BLOCK Q�, }FRAME n� STEEL <br /> DESCRIPTION OF WORK �/��G'L�/ /C�vV ����/ �L 7 �(� ✓l�i�YU <br /> BUILDING SIZE SQ FOOTAGE HEIGHT.. <br /> € <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> =ELECTRICAL $ AMP SERVICE = 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 OYES NO <br /> BUILDER COMPANY <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 REGISTERED Y/N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREN Y/N <br /> Address j')n V License# <br /> OTHER � COMPANY �/'/� f Id C' J/C/J D f"4 74,t t✓Gu�/ <br /> SIGNATURE. REGISTERED Y/N FEE CURREN Y![N <br /> Address %J ��/ �/r License# �C/! <br /> aaa1-1t:it# aa1t1[.9111111aaIaaaA11aaIt€Illf[ <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(forthe 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 />