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e�a-�eo-oo2o City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Da4e Receiyed <br /> Phone Contact for Permittin __ <br /> r • <br /> Owner's Name � (�p �3�� Owner Phone Number <br /> Owner's Address (:� /5 � � �f�� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � ��C� C� � � � l o S LOT# � <br /> SUBDIVI310N PARCEL ID# <br /> (OBTAINED FR�OM pROPERTY T�nce)DEMOLISH <br /> WORK PROPOSED (� NEW CONSTR ADD/ALT � SIGN <br /> �7�� INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER [-- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK _��� �� �"e�'�� )�7���� `� <br /> I <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �—� <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ ��/'� �u AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> (./ <br /> QPLUMBING $ <br /> l�� �z��� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � �v <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRiC1AN 1 <br /> COMPANY h/ , :�o�f CC-1I�lL <br /> SIGNATURE ��� ^ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �(� f �Q d_'�g�9 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTNER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woilcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 8 1 dumpster;Site Work Permit for subdivisions/large 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 constructfon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Perm(t 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 constructlon. <br /> „��������,��.�„���.���.,.�� <br /> Directlons. ' 'i"J <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,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 nota�ized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />