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e�aaeaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � —� phone Contact for Permittin — <br /> � p ! <br /> Owners Name � �TN ` Owner Phona Number <br /> Owners Address '�Y(.tCV��W d I VIJ� R( s C' Owner Phone Number I <br /> Fee Simple TiUeholder Name Owner Phone Number � <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS � � �Z 2 bt�� � ZZ�n r n t I `'S LOT# � <br /> SUBDIVISION �� PARCEL IDiF �I'��— �I— 0���' ����d— ���v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B nIEW CONSiR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 9� J_ �/ � �C � �/ <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �._�._._._._. ._ -�.�- <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � � � <br /> ! r QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING �� SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License if � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �� <br /> MECHANICAL I COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � license# <br /> OTHER � L�iG'�^�'I COMPANY OO/�• S� 1ti.�. G.. <br /> S�GNATURE REGISTERED Y/ N FEE CURRE� � <br /> Address St.tpa�+� s��/� I7'(�Yj I � License# G(.�►I <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(t)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite.ConsWCtion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets af Building Plans plus a Lffe Safery Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)workiny days afler submittal date. Required onsite,Construclion Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meei compliance <br /> SIGN PERMIT Anach(2)sets of Engincered Plans. <br /> """PROPERN SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out application completety <br /> Owner&ConVador sign back of appliCaGon,notarized <br /> If over j2500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notanzed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs ff shingles Sewers Service Upgrades PJC Fences(PIoUSunrey/Foolage) <br /> Drfveways-Not over Counter'rf on public roadways..needs ROW <br />