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sis-�ao-oozo . City of Zephyrhills Permit Application Fax-813-780-0021 �J � <br /> • Building Department I �✓ <br /> �' <br /> Date Received Z� � Phone Contact for Pertnitting -- <br /> - i rTT �/►^ ,p � 2 <br /> Owners Name r � � [ `'A � i �N C � Owner Phone Number � �J ��� � � <br /> Owners Address l�/� �`t� `-� 1� `�'�u� Owner Phone Number ��� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 2 -� � ' � « � �/ LOT # � <br /> SUBDIVISION '-- PARCEL ID# <br /> (OBTAINED FROM PROPERTV TA7( NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADDlALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q � <br /> DESCRIPTION OF WORK � � � � � � <br /> BUILDING SIZE SQ FOOTAGE 'L!' 9_r •� HEIGHT <br /> �BUILDING $ ,�1 C VALUATION OF TOTAL CONSTRUCTION <br /> V <br /> QELECTRICAL $^^/ �� � AMP SERVICE � p� 0 PROGRESS ENERGY Q W R.E.0 <br /> o�rr <br /> �PLUMBING $�G �� � <br /> �f t � <br /> �GAS Q�ROOF NG� Q vAL SPECIq ER LLATION �� "� � <br /> �� � � <br /> � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER r COMPANY � J� � <br /> SIGNATURE REGISTERED Y N FEE C RE� / <br /> Address +�d ( �/ � � — 1 ?�dl License # � C� � � <br /> ELECTRICIAN �,d� � COMPANY -� S l � 'e � �eG � ��� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER �.i(i ��� COMPANY �� �/ A` \ �-GY✓r�31 � L <br /> SIGNATURE � - � - � REGISTERED Y/ N FEE CURRE� Y( N f <br /> f � .. <br /> Address License # %�' <br /> MECHANICAL COMPANY - ���`V � ' `, � � <br /> SIGNATURE REGISTERED ' Y/ N FEE GURRE� / N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License ii <br /> 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I I 1 1 1 <br /> RESIDENTIAL Attach (2) Plot Plans, (2) sets of Bwlding 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, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. R-O-W Permit for new construction <br /> Minimum ten (10) working days after submittal date. Req�ired onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects. All commeraal 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 applicahon completely <br /> Owner 8 Contractor sign back of application, notanzed <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />