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''"" ""`" Gity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received L _ <br /> Phone Contact for Permitting �,� `� __ ��� <br /> Owner's Name �M lT�o � a� � � Owner Phone Number <br /> Owner's Address 11 � � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS a y f <br /> LOT # I 9� l0 <br /> SUBDIVISION PARCEL ID# � �eTl - - �jU{O - /�',?00 -O U <br /> (OBTAINED FROM PROPERTY TA�X N�OTICE) <br /> WORK PROP05ED e NEW CONSTR ADD/ALT �� SIGN � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE � SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME C� STEEL � <br /> DESCRIPTION OF WORK (.t/� s!� /r (IKr�n J'i��e �yr ,��� � � <br /> BUILDING SIZE C � SQ FOOTAGEC] <br /> HEIGHT <br /> �BUILDING $ �� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE �� PROGRESS ENERGY <br /> 0 W.R.E C. <br /> �PLUMBING $ —" � !� � �' i . L �, <br /> � `/ <br /> OMECHANICAL $ VALUATION OF MECHANICAL � s, � � � � <br /> INSTALUTION �(�I �(1��1` „ D _ ,p� ( �r <br /> �GAS O ROOFING � kj��fU�� ��d0+'/�` 17l <br /> Q SPECIALTY C� OTHER ���� 2Qn�Q��ne�� <br /> FINISHED FLOOR ELE:VATIONS � � 2 _���II <br /> FLOOD ZONE AREA �YES NO <br /> BUILDER � � u . / /� � � � <br /> SIGNATURE COMPANY ��+p��� k/�� p q A � <br /> REGISTERED Y N FEE CURRE� / N <br /> Address 0 /�i��l�ni�;/ � - License # ��G �,�Q 9 <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # r � <br /> PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y( N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2} sets of Building Pla�s; (1) set of Energy Forms; R-O-W Permit fo� new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attacn (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minirnum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Pians 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 Attacl� (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Di�ections: <br /> Fill out application compietely. <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 Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front ot Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />