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a�3-�eo-oczo City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Department <br /> Date Received �' `•� '"> > ' �` '� <br /> Phone Contact tor Permittin _���`: .�..'.� -- ,:..�;=".-'—' <br /> Owner's Name � ,� � � i Owner Phone Number ���'���'�� �' '�� <br /> i <br /> Owner's Address �� ."r� � .S� ✓ i; � Owner Phone Number <br /> Fee Simple Titleholder Name !"1 Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ~ r .S � • �- / � LOT# � <br /> '�S � ���y <br /> SUBDIVISION � PARCEL 1D# J-/ ' � �v -��' ✓ -�1�`�J!�' -- i�' ;% <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CoNSTR� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM Q OTHER n ' <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> OESCRIPTION OF WORK � f7 CG'I/l���jc� �/d_�'r/.� m/-9�` G�'W J',, '_�,/.�1 ^.. �c�f.r'�N�:� _-�,;, ,r r" <br /> BUILDING SIZE � SQ FOOTAGE[�..!> � HEIGHT -,=,-� -�' �' -"���r <br /> �/�, .�rrv <br /> QBUILDING $ '�� °� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a � �c� �3� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION n .�1�C�� <br /> ��� �� <br /> QGAS � (�ROO�Q SPECIALTY � OTHER <br /> FtNISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILOER COMPANY �^ � <br /> SIGNATURE REGISTERED Y/ N �E cu Y/N <br /> Address License# <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 Ucense# <br /> MECHANICAL � COMPANY <br /> SIGNATURE � REGISTERED Y! N FEE CURRE� Y 1 N <br /> Address License# —� <br /> OTHER � COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsUucGon Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facflities 8�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Lffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuctlon. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice oi Commencement is required. (A/C 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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />