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City of Zephyrhills Permit Application Fax 813-7sa-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting 5 � �M <br /> Owner's Name _ Owner Phone Number q(o <br /> Owner's Address C� � 3S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 S n/bT L 4yE,v,1 �cs .r �3S O LOT# <br /> SUBDIVISION--� ��- JARCEL ID# •�°S �� O/!a©'OD DO' 2�0 <br /> (OBTAINED FROM PROPERTY TAX OTICE): . <br /> WORK PROPOSED NEW CONSTR ADD/ALT. SIGN DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE SFR, COMM OTHER <br /> TYPE OF CONSTRUCTION. E:2— BLOCK FRAME STEEL <br /> DESCRIPTION OF WORK 1 �Gt .S <br /> BUILDING SIZE = "1-TN .7 SQ FOOTAGE �i d Z� HEIGHT ` <br /> BUILDING $ j, VALUATION OF,TOTAL CONSTRUCTION <br /> [ELECTRICAL $ ! -� AMP SERVICE 0 PROGRESS ENERGY :W.R.E.C. <br /> PLUMBING <br /> lZMECHANIGAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS ROOFING SPECIALTY OTHER G <br /> FINISHED FLOOR ELEVATIONS �' FLOOD ZONE AREA =YES NO <br /> _R.So <br /> BUILDER 1t �� �/� COMPANY C <br /> SIGNATURE �' REGISTERED Y I N FEE CURREN Y I N <br /> Address ., License# ra .j-� 2 7 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE Z— REGISTERED / N FEE CURRENY/N <br /> Address Q� 3 License# /—�Gr3 o o y:1 1 <br /> PLUMBER ` COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE URREN /N I <br /> } <br /> Address tw S{-� �A a License# 10E C1 y 71 /3 <br /> MECHANICAL. COMPANY <br /> SIGNATURE ti✓ � "" REGISTERED /•N FEE CURREN V I Y/N <br /> Address 5' DZ�,_r License# C6 33 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address i,p .m License# cc 13 <br /> 111llllll-[ III. I Ill 111 :11111i111' iIIIIIIIIIIAIiil1I11I. IIIIII. IIIii .iNliil _ <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.Flans. <br /> ****PROPERTY SURVEY required for all NEW construction' <br /> 1 I f L.• ■ ■ • ■ r . <br /> r ■ ■ r ■ • • ■ n_.. r r r ■ r r r r ■ ■ ■ r r ■ r ■ ■ r r r r r ■ r r r ■ r r ■ r r ■ r ■ • r r ■ ■ ■ <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(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 />