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�,s-reauuzu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 1� � Z Phone CoMact for Permittin �S�— .5 Vv . <br /> Owner's Name �GY��� �•- � C� `(`(1 Owner Phone Number <br /> Oumers Addresa �� J-� � � ' �����' p�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee 3imple Titieholder Addreas <br /> JOB ADDRESS � �� ����j S C\\C I� r�.1� LOT A � <br /> SUBDIVISION PARCEL ID* / 6 'Z E, - ( - (ZQ _- Q Q 0(,)U — (?�'j�o <br /> (OBTAINED FO pROPERTY TO nce)DEMOLISH <br /> MIORK PROPOSED e NEW CONSTR B ADD/ALT [� SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL Q <br /> DESCRIPTION OF WORK �YZjU� �j �� �� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING S ��� � -" VALUATION OF TOTAL CONSTRUCTION �4 �5�� U� <br /> [�ELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.0�' <br /> QPLUMBING s <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION l �� � � <br /> . <br /> � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER "� � COMPANY � , � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � ` cv�c; rf,(� License# �C�j SYj�j �� � <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 /> Addreas 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 /> Addreas License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aiter submittal date. Requfred onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadBdes 8 1 dumpster;Site Work Pertnit for subdivisionsAarge 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 aiter submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster.Site Wo►k Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW construcUon. <br /> DirocNons: <br /> Fill out applicaHon completely. <br /> Ovmer 8 Contractor sign badc of applicarion,nota►ized <br /> If over S2S00,a Notice of Commencement is roqufred. (AIC upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)vwould be someone with notarfzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon 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 />