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ais-�eo-oozo City of Zephyrhills Permit Appiication Fax-813-780.0021 <br /> Building Department <br /> Date Received � � <br /> Phone Contact for Permittln _ <br /> Owner's Name 1 Ql�t Y 4 � �C� (D Owner Phone Number <br /> Owner's Address !/� y� (p Ct � � V� p�er Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 7 L Z �PG�I �U� �� <br /> LOT� <br /> SUBDIVISION PARCEL ID� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoNSTR ADD/ALT � SIGN Q Q DEMOLiSH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �Q� l7 O I 4 �{ G��/Y/1�1, <br /> BUILDING SIZE SQ FOOTAGE[-—� HEIGHT <br /> OBUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ ���Q�J AMP SERVICE <br /> [� PROGRE NERGY Q . E.C. <br /> QPLUMBING a <br /> QMECHANICAL $ l ,� �L <br /> VALUATION OF MECHANICAL INSTAL TION (- � <br /> . <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FiNISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA � <br /> QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN � COMPANY C/ �'{Y V P �'I L-CJ I j'l <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Facllit(es&1 dumpster;Site Work Permit for subdivisionsllarge 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�ays after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Englneered Plans. <br /> """"PROPERTY SURVEY required for alf NEW construcdon. <br /> Directions: <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 s7500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appflcatlon Only) <br /> Reroofs if shingles Sewers Servfce Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />