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a�s-7s�-��z� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department .. <br /> _ ' �� � � <br /> Date Received � � �' �'� � • Q <br /> Phone Contact for Permitting <br /> � yy � �� � r '1 c � <br /> Owner's Name � �1Q.L" ��' IGV ���� i��1�� � Ovdner Phone Number �j"� r7c� ��� <br /> Owner's Address � C� l Pa Y 1'l \" � �Li7- l�i� �� � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehotder Address <br /> JOB ADDRESS 3 ,� r l C� �'�� l.�( ��..— LOT # �� <br /> SUBDIVISION , PARCEL ID# �; �. � `�j' �,.� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � a SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR F•.�.�L' <br /> �,t� i <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK `� � C� � Y'�� r ' � � S <br /> BUILDING SIZE SQ FOOTAGELL-1sLSz�J HEIGHT <br /> [�BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> i, <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � ��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES 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 s License # <br /> OTH � "d� .� COMPANY T�\�� �v <br /> SIGNA f � � REGISTERED Y/ N FEE CURRE� Y/ N <br /> ! , � <br /> Address �- ( S License# � �� S r <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) wortcing 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, Stortnwater 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 requlred for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is required. (AlC upgrades over;7500y <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 (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />