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��� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> � � � G( �- Q' ZE,�?� <br /> DateRe'ceived �'� �� _ � <br /> Phone Contact for Permittin <br /> i 2 <br /> Owner's Name � )r'� S ) Owner Phone Number �� J � �0�� <br /> Owner's Address �� t� � 'Q i--i" - Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �0 ��F'�y1�`C,Q�('j O� �JY� - 2 f� I� lS LOT # �� <br /> SUBDIVISION ►�2P'1 \'I;UC� , PARCEL ID# b '� t�" �" � � Q QQ '' QQ Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B W TALLSTR 8 REPAIR �p�� �GN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER �.� �, <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 'e(7.�/ ��y�G� Ot� � J 7�� S' 1�`'l �� S <br /> BUILDING SIZE SQ FOOTAGE ��� HEIGHT <br /> �BUILDING $/� � f( �Q p� VALUATION OF TOTAL CONSTRUCTION <br /> b �''�`1 <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHAN�CAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS ,�] ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y J 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 J N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL � COMPANY <br /> SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address .� License # <br /> OTH � "' .- COMPANY �' �Q \ -�-� � <br /> SIGNAT --" � REGISTERED Y/ N FEE CURRE� Y! N <br /> Address �j�- �� 1�V1 � S �3� f License# �-d-- � � <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, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial �equirements must meet compliance <br /> SIGN PERMIT Att,ach (2) sets of Engineered Plans. <br /> *""'PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out applicatiori completely. <br /> Owner 8� Contractor sign back of application, notarized <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 letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of 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 />