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ai3-�eo-oozo City of Zephyrhills Permit Application I <br /> ' Building Department Fax-813•780-0 21 <br /> Date Recelved ,� <br /> T Phone ContactforPermittin <br /> Owners Name � � ; ' <br /> Owner Phone Number <br /> Owner's Address �-�('� Q D Y <br /> Owner Phone Number <br /> Fee Slmple TlUeholder Name <br /> Owner Phone Number <br /> Fee Stmple TlGeholder Address <br /> JOB ADDRESS � R �� <br /> � LOT # <br /> SUBDIVISION PARCELID# i Z,�p l ��y�„-,,,�G O � <br /> vvW <br /> WORK PROPOSED e (OBTAINED FROM pROPERTV TAX NOTICE) <br /> NEW cONS7R ADDlALT � SIGN � O DEMOLtSH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK �, � J + `� <br /> t V <br /> BUILDING SIZE SO FOOTAGE Z� <br /> HEIGHT �� <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI a AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E. <br /> QPLUMBING $ � <br /> MECHANICAI $ {�' � �`� � <br /> � VALUATION OF MECHANICAL INSTALLATION �� <br /> � o3Q _OU <br /> QGAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO <br /> BUIL r � COMPANY p�t,`I � �p�� <br /> SIGNATU REGISTERED Y/ N FEE CURR � <br /> 1_ Y/N <br /> Address �-� 1\ � c� � C 1� � 1} r�� License # C� Q � 3 <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 CURRE� 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 <br /> �icense # <br /> 11111111111111111111111111111111111111111 <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) working days after submittal date. Required onsite, ConsWctlon Plans, Stormwater Plans w/ Silt Fence install d, <br /> Sanitary Fadlities & 1 dumpsler; Site Work Permlt for subdivisions/larpe projects <br /> COMMERCIAL Attach (3) complete sets of Buildinp Plans plus a Life Safety Paye; (1) set of Eneryy Forms. R-O-W Permil for new construclion. <br /> Minimum ten (10) workinp days after submittal date. Requlred onsite, Construction Plans, Slormwater Plans wl Sllt Fence install d, <br /> Sanitary FaGlilies 8� 1 dumpster Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sels ot Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> fill out applfcation completely <br /> Owner & Contractor sign back of appliptlon, notadzed <br /> Ii over 52500, a NoUce of Commencement Is requlred. (A/C upprades over 57500) <br /> " Agent (for lhe contractor) or Power of Attomey (for lhe owner) would be someone with nolanzed letter from owner authorizing same <br /> OYER THE COUNTER PERMIT'fING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences {PIoUSurvey/Footage) <br /> Oriveways-Nol over Counter if on publlc roadways..needs ROW <br />