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s�saao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> DateReceived _(3-t v PhoneContactforPertnittin �✓ ^7��� _��C� <br /> Owner's Name � �{. �� (1�� Owner Phone Number � ��� <br /> Owners Address ��(0, � `1 � ) � '� Ownar Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �J�`7 (1/� �l C(f'J L`�i ��.'i LOT# �� <br /> SUBDIVISION fln 1 �I�� ' ' PARCEL IDA� _3�'c�`>����Q l� Q��(� Q�'�'1�3L/ <br /> (OBTAINED FROM PROPERTY TAl(NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK � � 1 ` "\ ��� � <br /> BUILDING SIZE I D���� I�� SQ FOOTAGE 1 .� HEIGHT � <br /> BUILDING $� / �(] VALUATION OF TOTAL CONSTRUCTION <br /> (O <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � <br /> � . �2.� <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � / � 1 <br /> BUILDER ��/\ �Q��iK.� �..f� COMPANY `�'� /1��"Y'L(. <br /> SIGNATURE J REGISTERED Y N FEE CURRE� Y/N <br /> Address T T•y7 ��� IS ` i�� License# S��f�� <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 1 N <br /> �d�sg License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREh Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stortnwater P�ans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-0-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 Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""`PROPERTY SURVEY required far all NEW construction. <br /> Dvections:• <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is requlred. (AIC upgrades over E7500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)wouid 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(PIoUSurvey/Footage) <br /> Driveways-NOt over Counter if on public roadways..needs ROW <br />