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s�s-�aaoozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department � 13��y <br /> Date Received ^ / —/� � / <br /> i T 1 n rT 1 Phone Contact for Permittinfl _ <br /> -r(T TT <br /> Owners Name Owner Phone Number � 3 <br /> Ow�ers Address � � Z Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS / y�� . �S � �j�� LOT# �� <br /> �J <br /> SUBDIVISION PARCEL IDM —�� � <br /> (08TAINED FROM PROPERTY TIU(NOTCE) <br /> WORK PROPOSED NEW CON57R ADD/ALT Ci/] SIGN Q O DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRqME � STEEL � <br /> DESCRIPTION OF WORK �' <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT �� <br /> BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ � � ����� 4�� / <br /> QMECHANICAL $ VAlUAT10N OF MECHANICAL INSTALLATIO � nP ���"C(G�� � <br /> QGAS Q ROOFING � SPECIALTY � ��/ �"- <br /> �� OTHER r��/���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO 1 <br /> C�� � <br /> BUfLDER � ���PANY � � 4C I�{�� �.f�L"'—� <br /> SIGtdATURE � `� 1 <br /> REGI3TERED Y/ N FEE CU Eh Y 1 N (J <br /> Address ( �Y�� License# Q�Q S,1 s� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N fEE CURREh Y/N <br /> Address License# —1 <br /> PIUMBER CON{PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address <br /> "�—� License# <br /> MECHANICAL � I C�P� � <br /> SIGNATURE I REGISTERED Y! N FEE CURREN Y/N <br /> �d� License# �— <br /> OTHER COMpANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �---� <br /> � r � t � � � � � � � � rr � r � � � � � � � r � r � r � t � t � � � � � � � � � � � � � � � � � � � � � iir � � � � � � � � � � � <br /> RESIDENTIAL Atlach(2)Pbt Plans;(2)sets of Building Ptans;(1)set of Energy Forms:R-O-W Permit fvr new oonstructan, <br /> Minimum ten(10)working days after submittal date. Required ansite,ConsWc[ion Plans,Stormwater Plans w/SiR Fence installed, <br /> Sanitary Facilfies&1 dumpster;Site Work Permit for subdivisionsJlaipe projecls <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consWCtion. <br /> Minimum ten(10)working days afler submitlal date. Required onsite,CrnisWpion Plans,Stomiweter Plans w/SiN Fence installed, <br /> Sankary FaaliUes B t dumpster Site Work Pertnit for all new projects,q��commercial requirements must meet campliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> DirecL'ons: <br /> Fil�out application cqnpietely <br /> Owner 8 Contiadw sign badc of application,notarized <br /> If over S2S00,a Notice of Commeacement is required. (A/C upgra4es over 57500) <br /> "' Agent(for the corrtractor)or Power of Attomey(for the owner)would be someone with rrotarized letter from owner aufhorizing same <br /> OVER THE COUNTER PERMIT7ING (Front of Application Ony) <br /> Re�nofs'rf shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />