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s�s-�so-oozo City of Zephyrhills Permit Application Fax-8'13-780-0021 <br /> Bwlding Department <br /> Date Received �� ��—/ �f,� 'Z�� � ( <br /> Phone Contact for Pertnitting <br /> i f L 1 1 1 1 7 - 1-r -- - - <br /> Owner's Name A �' �v �vK�, <br /> 'w"� OwnerPho�eNumber <br /> Owner's Address �7 ( //( �� �?�� f ��wner Phone Number '^� �� !� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS � �/�.J� 1" l l.�{ V' I� `` r hr 1 I LOT# [� <br /> SUBDIVISION PARCEL ID# �`�—��—� '' O��O— —"""`�'—' ��O <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q 0 DEMOL ISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER —� <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �--, <br /> DESCRIPTION OF WORK (1 'rI ' ` � ) 1 r 1� � <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT � <br /> Trrr <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ '� 00 AMP SERVICE 0 PROGRESS ENERGY Q W R.E.0 <br /> �PLUMBING $ ��,// /� <br /> �� ( 1(%/ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING 0 SPECIALTY � OTHER <br /> FINISNED FLOOR ELEVATIONS F�OOD ZONE AREA �YES NO <br /> a i--1�.--���.--.-�.--.-.�-.��C--i i--C �--i—•--r� 4.�1— <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Add ress License# � <br /> ELECTRICIAN COMPANY I vl f 1 I`l� I C�►.� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N r <br /> Addres License# ,�e i�ooy�l <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 � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> 1 I I 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 1 1 1 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 <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of Building Plans;(1)set of Energy Forms,R-0-W Permit for new construction, <br /> Mmimum ten(10)working days after submittal date Required onsite,Construchon Plans,Stormwater Plans w/Sdt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a�ife Safety Page;(1)set of Energy Forms R-O-W Permit for new construdion, <br /> Minimum ten(10)working days after submitlal date. Required onsite,Construchon Plans,Stormwater Plans w/Sdt Fence mstalled, <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 Engineered Plans. <br /> '^'PROPERTY SURVEY reqwred for all NEW consiruction <br /> �' •--^•-•�-•--.�..�^ .--r.--r�F�' ..-r..-r� <br /> Directions: <br /> Fill out application completely <br /> Owner 8 Contracror sign back of applicahon,notanzed <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notanzed letter from owner authonnng same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />