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aisaao-oozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> . Building Department <br /> Date Received Phone Contact for Pertnitting -- <br /> TI l-rfT- /' - -- -n�- <br /> Owners Name �l��►�l 1 Owner Phone Number <br /> Owners Address ' /u� V ` Owner Phone Number <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � I� ��n C� � � ��1` LOT# � <br /> SUBDIVISION PARCEL ID# �1- U! �1 -- ��1 <br /> (OBTAINED FROM PROPERTY TA%NO710E) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> NPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK tCLn v Vl.' � �� 'Sy� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL S . r.-/-� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> J v <br /> QPLUMBING $ . �/,i/,� <br /> r f'/ '�C,F <br /> 0 — �� ( / <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ! // <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER �-7 ( ) <br /> L G <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO / <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRICIAN l� . /L . �` � �PANY ` � � � �" U <br /> SIGNATURE ��1/1/`�/ v E ED Y/ N FEE CURRE� Y/N <br /> . <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL C.�y`y � .��s- COMPANY , � ^ � f `�' T! T�C�IV) L <br /> SIGNATURE " lJ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ���7 �r V� C' License if 1�- e-��1 ��l Cf <br /> OTHER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREI. Y!N <br /> Address License# �— <br /> 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0.W Permit for new consVUCtion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(t)set of Energy Forms.R-O-W Permit for new construclion. <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities 8 1 dumpster Site Work Permit�or all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqwred for all NE W construction <br /> Directions:• <br /> Fill out application completely <br /> Owner&ConVador sigo back of applicatlon,natanzed �' <br /> If over SZ500,a Notice of Commencement is required. (A/C upgrades over=7500) <br /> " Agent(for the conVador)or Power of Attomey(for,�e owner)would be someane with notarized letter from owner authonzing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />