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� a�a-7so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ' Z � � Phone Contact for Permittin �� .J -- � l.J"�� <br /> �-r-rTm-r - � <br /> Owner's Name � Owner Phone Number <br /> Owner's Address r� /Q . 'i V Owner Phone Number �- <br /> FeeSimpleTitleholderName p^�����u�e� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L I7 1 L LOT# �� <br /> SUBDIVISION �- PARCEL ID# � � O � 1O 1� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED �EW CONS7R B ADDlALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK `N J � �'L O p �, IQ � ��'t, S"�J -r��I <br /> BUILDING SIZE SQ FOOTAGE I(� S HEIGHT <br /> TTI"�T7T1"TTI"1"1'9T7�TITr TTrIT7� TI"1"r1�ITTrtT1" <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ p� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ n�/ � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � �`t � <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �--:-7��-:-:--i--'-1-�N-1-1--1--F-4�: . .-:-: '�'. '���1--1-4-1--F-4-��.�'-`-+--'rC--C-f�-1--F-1��1-i-���. � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICI COMPANY ��� L�'L II� �.V I/li � �A � <br /> SIGNATU E Y 1 N FEE CURREN Y/N <br /> Address '�"jl � �q-7�12$ Iy�V'E S� ��(�4� License# F�2OOU !t�r'3�� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License# <br /> Illllllllllllllllllllllllllllllllllllllllllllllllllllllilllllllllll <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 subdivisions/large 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 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 for all NEW construction. <br /> . . . . . . ��'.-.'�-'r:-:��1..4.1.��� • ' C�+',.:..:..r.1..1..4�1..�-. . • 1�-4.�..�.4a..4.1�5.r'-'r:- <br /> Directions:• <br /> Fili out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AJC 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(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />