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ai��so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmen[ <br /> pata Received � � phone Contact for Permitti 3 Qq' - 7� � �C�"•�/-/-/-���ppp��y��.��w/// <br /> � I I / 1 1 �-�-i / <br /> Owners Name ,Q G Owner Phone Number / <br /> Ownefs Address � Owner Phone Number � 3��� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Tideholder Address <br /> JOB ADDRESS � � S ( LOT# � <br /> SUBDIVISION �Qn � S� a�PARCEL IDk J ' �' z� ��( ' a�Qd../� Z�bl� <br /> �oera�o FaoM raorerm rwc Noncel <br /> WORK PROPOSED e NEw CON57R� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUC710N � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK .�.J-lGJ I 1�� O� - <br /> BUILDING SIZE SQ FOOTAGE O7 a HEIGHT <br /> QBUILDING $'1 20 O� VALUATION OF TOTAL CONSTRUCTION <br /> d+ 0 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ `f <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �1 ��l <br /> _�, � <br /> QGAS Q ROOFING d SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER vCOMPANY G � S S <br /> SIGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address �) Z[ License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE �cis'rE�o Y! N FEE CURRE� Y/N <br /> Acldress License#� <br /> PLUMBER COMPANY �— <br /> SIGNATURE REGISlERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE a�cisrea�o Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE GURRE� Y/N <br /> Address License# � <br /> 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 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 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site WoAc Permit for subdivisionsAarge 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 onsite,Construdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permit for all new projeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW construction. <br /> Directions:. <br /> Fill out appliration completely <br /> Owner&Contractor sign back of application,notarized <br /> If over Ez500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> `* Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulfiorizing same <br /> OVER THE COUNTER PERMITl7NG (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 />