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���-�uu-uuzu City of Zephyrhills Fermit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� -,�•- �� <br /> Phone Contact for Permittin /,j �f 7 _ p,S��s <br /> Owner'sName � �\ �\� �L�,��lb-�� �����a0�7 I l � <br /> Owner Phone Number <br /> Owner's Address ��� � �-G �� 1� L v' � 2��� l� �pWner Phone Number � �� � 7�U -(p / C7 1 <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS lf ���� `"L( 1� �/ � V �� b�, h I l� ( ,� j� � I� LOT # �� <br /> SUBDIVISION PARCEL ID# `� �"� � -� (� . � Q Q �� I t <br /> (OBTAIN D FR�OM pROPERTY T ncel DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR � COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �� ( '� ` '� \ U � w@ � � S Q(� � l� �'t� 6 n � � <br /> BUILDING S12E � � SQ FOOTAGE � HEIGHT G(0 � 1 <br /> G�BUILDING $ �,,� <br /> L I j�� � i VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIaN � <br /> l � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER r�� Z �� � �^ � COMPANY �� r 4-J i�cyl.� C.c �S� . -�N C <br /> SIGNATURE �� l/D «� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �jGj�}a o�JS ,Q �fPtii �,1 � License # C�O � 77 0 S <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 /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit 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 PeRnit for subdivisionsflarge 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 /> Mfnimum ten (10) working days after submittal date. Required onsite, Conshuction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Work Pennit 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 construction. <br /> ���r���r����r���'rr���� <br /> Dtrections. "i'+ a'-"l"1'-u'u <br /> Fill out application 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 oumer) 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 />