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s�s-�so-oo2o City of Zephyrhills Permit Application fax-813-780-0021 <br /> � ' Building Department <br /> Date Received / ' Phone ConWct for Pertn�tt'it g / [ �-- <br /> 1 1 1 1 1 1 1 1 i <br /> Owners Name �l e Owner Phone Number <br /> oM.�ers ndare� 3? Y� L� Owner Phone Number <br /> Fee Simple Tkleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3? YY' [ �� LC �J LOT # U-�� <br /> SUBDIVISION N�J PARCELIDq 34�-o'�a/-O/S60 -IJOGL2�-/�S� <br /> (OBTAINED FROM PROPERTY TAII NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � W3 � � /N c./7 <br /> BUILDING SIZE � V X�� SQ FOOTAGE S�v HEIGHT � <br /> UILDING $ � O� VALUATION OF TOTAL CONSTRUCTION <br /> �E�TRICAL $�� QQ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I���� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �v � COMPANY H O <br /> SIGNATURE � REGISTERED Y! N FEE CURRE� Y/ N <br /> Address � � � License # W��� O a+ <br /> ELECTRICIAN , , � � COMPANY I / <br /> SIGNATURE {.G�'LC/ � REGISTERED Y! N FEE CURRE� Y/ N <br /> Address � �i�lf�N ��lr License# `�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURREI. Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets oi Building Plans; (1) set of Energy Fortns; R-O-W Pertnit for new consWCtion, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Worlc Pertnit for subdivisionsflarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a L'rfe Safety Page; (1) set of Energy Fortns. R-O-W Pertnit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsile, Construction Plans, Stortnwater Plans w/ Sill Fence installed, <br /> Sanitary Facilities 8 1 dumpsler Site Work Permit for all new projects. All commercial requirements musl meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construclion. <br /> Directions: • <br /> Fill out application completely <br /> Owner & Contrector sign back of application, notarized <br /> If over 52500, a Notice of Commancement is required. (AIC 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 oi Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences (Plot/Survey/Footage) <br /> Driveways-Nol over Counter if on public roadways..needs ROW <br />