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a�3-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin — <br /> Owner's Name ����� Owner Phone Number �3 � S <br /> Owner's Address �'7 �a ����Q� � Owner Phone Number C <br /> Fee Simpie Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Cp`Y'I o� �-1V LrK.�X. L�C��'� � LOT# � <br /> SUBDIVISION i'�Wq�o c�i( PARCEL ID# �iJ � ��S �/Q..J/ / � LoT 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED e NEW CONS7R 8 ADD/ALT Q SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER � <br /> TYPE OF CONSTRUCTIUN Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK l.rt'Y���� �UT �T��� }�6A%��` _ �,[LCJ�./n <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT ] <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $� �/'GI � <br /> Y <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/(V <br /> Address License# C <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER �J�t �►� �OMPANY l� C LL�m�/1�JC <br /> SIGNATURE i�"�^�� , REG�STERED Y/ N FEE C RE� Y/N <br /> Address 7 � License# C�� �,� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Pians w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Wark Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians 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.Sfte 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over 57500) <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 />