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ei�-�eaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> . 1 <br /> Date Received phone Confact for Pertnittin � _ Qb� <br /> - r7T - TT� r r - - TTTT <br /> OwnersName 7 OwnerPhoneNumber �� � �� '�� <br /> Owners Address �/f Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Sj L�D / � LOT # � <br /> SUBDIVISION �,e � PARCEL IDVt - L - � • �� <br /> (OBTAINED FROM PROPERTY TAX N0710E) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTH � � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q 1(e�l+� • <br /> \, <br /> DESCRIPTIONOFWORK e � jK D � /�O/� ,7�1��/es <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� � lrN "�� K � <br /> O/��G <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY O W.R E.C. <br /> QPLUMBING $ � <br /> J � � � �-� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> �GAS ROOFING � SPECIALTY � OTHER 4 � <br /> FINISHED FLOOR ELEVATIONS ��` n FLOOD ZONE AREA �YES NO <br /> V <br /> BUILDER � COMPANY �L '�) O✓L� i �I �- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �Z License# ��Z QD��� <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 1 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 /> 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 <br /> RESIDEN7IAL 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, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Pertnit for subdivisionsAarge projeds <br /> COMMERCIAL Attach (3) complete sets of Build�ng 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 onsite, Construction Plans, Stortnwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projeds. All commercial requirements must meet compiiance <br /> SIGN PERMIT AttacF� (2) sets of Engineered 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 =2500, a Notice of Commencement is required. (A/C upgrades over E7500) <br /> " Agent (for the contractor) or Power of Atlomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs 'rf shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />