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s�3-7so-oo2o City of Zephyrhills Permit Applicati.Qn� �'T Fax-813-780-0021 <br /> Building Department -.�'/ � 3� ( <br /> Kr <br /> Date Received <br /> Phone Contact for Permlttln _ <br /> Owner's Name <br /> -s=�-- f Owner Phone Number <br /> Owner's Address � r� y ,�S ?j?) � <br /> _ � ner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB�SS �� �j j Z `/`T/LLS 7 LOT# �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FR�OM pROPERTY T�TICEI DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRI��1_4F 11L�IORK K.0 Gb uJN G,�-y�N �/�►!� (�/_ y.. /p �p� L ,t:N — <br /> BUILDING S12E �— SQ FOOTAGEC� HEIGHT �1�� <br /> _�BUILDING $ . �2 3 <br /> j V UATION OF TOTAL CONSTRUCTION �G,�ii�(�yS j" <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING � SPECIALTY C� OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO <br /> /�UILDER COMPANY ���i L<-��C <br /> SIGNATURE � w REGTS��ERED Y! N FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP 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/N <br /> Address License# —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 Wor1c Permlt for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Llfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <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 required for all NEW construcUon. <br /> �-r�r���i��i����������� <br /> ��aa��t� � <br /> Dlrections. <br /> Fill out appUcation completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over;2500,a Notice of Commencement ls required. (A/C upgrades over 57500) <br /> "' Agent(for the contractor)or Power of Attomey(for the owner)would be someone wlth 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />