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u,.�-�uu-u��zu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , . Building Department = __ ______- <br /> .. r' __-- <br /> Date Received � S Phone Contact for Permittin �� C-' 7 7-_�f �� <br /> Owner's Name �' �' Owner Phone Number <br /> Owner's Address - Owner Phone Number —� <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS Ls � �� L-G'�'��v�p�, : ,�f�l�Fr`✓ /yj�LL �'�iv/,J /�Id'�/� / LOT# �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CON57R 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> tNSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM [� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ` � `7 / �' C� l G7 � ��Z' (��j vt �✓ L /r✓1� t/L' (`� <br /> BUILDING SIZE �--� g('� FOOTAGE � HEIGHT <br /> �BUILDING $ 1�/ c7i «' VAWATtON OF TOTAL CONSTRUCTION <br /> � �c%' ! <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /,�' �� <br /> l <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> / <br /> BUILDER ` COMPANY � ,rS ���L�/ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> EIECTRICIAN 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/ 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 Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Requlred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge 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 submlttal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles 8 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 construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement Is requlred. (A/C upgrades over;7500) <br /> *' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from �wner 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 Gounter if on public roadways..needs ROW <br />