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a�s-�so-oozo City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name `� Owner Phone Number / U/ <br /> Owner's Address Owner Phone Number �,3 / o y� �G /�j <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Add►ess � <br /> JOB ADDRESS <` � ti e � -c J / � " .� LOT# � <br /> SUBDIVISION � -1 PARCEL ID# [%°��' I�GC 1�' - G�1' c7(}-- U L'c,`+ t: <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONS7R ADD/ALT [� SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �-- �t Ir ���"��`- <br /> BUILDING SIZE �G� � X 1 S� SQ FOOTAGE 3� � HEIGHT �d , ^ y"] <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> !a I . 1 `� <br /> DELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a �� r <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> � <br /> FINISH�ED FLOOR ELEVATION O ROOFING O FLOOD Z NE AOREA OTHE�YES NO ^/ � L��-✓ <br /> '�l � <br /> 'Q <br /> BUILDER � � � �COMPANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address %�, � � 1i� � ti••'� 1-��i. License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <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# 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 Buiiding Plans;(1)set of Energy Forms;R-O-W Pe►mit 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;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new consUuctlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements m�ust meet compliance <br /> SIGN PERMIT Atfach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW construction. <br /> Directiona: <br /> Fill out application completely. <br /> Ovmer&Co�tractor sign back of application,notarized <br /> If over i2500,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 notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTIMG (Front of Appllcation Oniy) <br /> Reroofs if shingles Sewers Service Wpgrades A/C Fences(P(oUSurvey/Footage) <br /> Driveways-Not over Counter if on ptlblic roadways..needs ROW <br />