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s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Buiiding Department <br /> Date Received l 7 lj�LJ ^ S/6 3 <br /> _�_ Phone ConWCt for Pertnittin O� f! 7 <br /> Owners Name � � Owner Phone Number O' �,7� � <br /> Ownels Address �. Owner Phone Number �_ � <br /> Fee Simple TlUeholder Name � Owner Phone Number �— � <br /> Fee Simple Tideholder Address <br /> JOB ADDRESS � � • ' <br /> LOT # V � <br /> SUBDIVISION PARCEL ID# � 3 Z' 6 � �Z ! � -- (7(��a � � d <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 1e Z 'C� `� � �17j <br /> BUILDING SIZE SQ FOOTAGE I" YV �1h1►'� HEIGHT �� <br /> ����������������������������i�������i��� n <br /> �BUILDING $ � 7 (� VALUATION OF TOTAL CONSTRUCTION <br /> 1 �"`�/ � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING �� <br /> � ( 2�f � o <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO REA �YES NO <br /> � <br /> ' � �.c r�[a�. P <br /> BUILDER MPANY � �` <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N <br /> Addresa .�- �� ( <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # � <br /> 11111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; R-O-W Pertnit 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 Pertnit for subdivisions/iarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. R-O-W Permit for new construction. <br /> Minimum ten (f0) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Pertnit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Enginee2d Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner & 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 PERMITI'ING (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 />