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��.s-��u-uuzu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> D�te Rec�ived Phone Contact for Permitting _ <br /> l <br /> Owner's Name �?S% :a Owner Phone Number 1,�- �]i. - II�� <br /> Owner's Address J� ,.3 C� �� ,5 � � i�� Owner Phone Number � <br /> Fee Simple Titleholder Name ��//l/-r Owner Phone Number <br /> Fee Simple Titlehoider Address � ✓ <br /> JOB ADDRESS S� c q5' :>r� LOT# / IO f/� <br /> SUBDIVISION L l�� u T �8l��1v//�;�IS - PARCELID# I�"' ��" �v�� O✓�c�'��,2�i0£�-pt�9� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK l<-P/"t7oY" Sn �{ y��,,;/ �jp1„� �' ' �,� ylt <br /> BUILDING SIZE � SQ FOOTAGE C� HEIGHT <br /> OBUILDING $ .% VALUATION OF TOTAL CONSTRUCTION <br /> � s�� <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS ROOFIN Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# � <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/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY � f��tSr , .�`,/G, <br /> SIGNATURE REGISTERED Y/ N FEE RRE� Y/N <br /> / i `/ <br /> Address �{ �'/►GB [�-�n � �,! t� '��%�t� /`� j�'��j/ License# Gi�i O`7 � <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. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 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 submittal date. Required onsite,Construction Plans,Stormwater Plans wf Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered 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;7500) <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 of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />