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s'3-'s°-°°z° City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department -� <br /> Date Received <br /> � ' I < � ��� / � <br /> Phone Contact for Permittin j ��� _(x7'j <br /> Owner's Name �� �(lVl Y��;��t .� ,�i� py�ner Phone Number �S� ' S(q 7' <br /> Owner's Address 1 ��0�. ` °�•�t ►' l V �� L ; �} �� S` � � � <br /> ��" � ��CX � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simpte Titleholder Address <br /> JOB ADDRESS �—� Jc� �!'��Y��`E,V�,rj� � . r �� �S � �j �' � LOT # �� <br /> SUBDIVISION tT�YQv'�� �) , PARCEL ID# O"[ ��fl ��"' �� -- DO -- DOO� C� <br /> (OBTAINED FO pROPERTY T ricEl DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT SIGN <br /> INSTALL 8 REPAIR �pp'�' <br /> PROPOSED USE 0 SFR � COMM �� OTHER �+'� .Q � �, <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK �� I�� V P�V��'� a S � hL �- S� � yj J,QS <br /> BUILDING SIZE �_ SQ FOOTAGE � S O O HEIGHT <br /> �BUILDING $ /' r) � <br /> t�J (/t VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W,R.E.C. <br /> �PLUMBING $ / � �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS ,� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> � <br /> Address � License # <br /> OT R ,,- � COMPANY VYI�i'l \ '� y�� <br /> SIGNA , ,,�-'l� REGISTER <br /> ED / N FEE CURRE� / N <br /> Address S�— L- � License # G� C. � <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 (3) 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, Stormwate� 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 constructlon. <br /> ����.,���,���.,����.,��� <br /> �.�� �.0 i,� ia.0 � � i a�.u.i i i.i.0 r <br /> Directions. <br /> Fill out application compietely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement ls required. (A/C upgrades over;7500) <br /> "' Agent (for the contracto�) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoVSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />