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aia-�ao-oo2o City of Zephyrhills Permit Application Fax-813780-0021 <br /> � Building Department <br /> Date Received $� Z`! 3 Phone Contact for Pertnittin l� �l -- � �� <br /> Owner's Name F�ld n l�K/1 Owner Phone Number <br /> Owners Address Q��� �te. �CK�i C ' �� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ✓� <br /> JOB ADDRESS �Q V I O � LOT# � <br /> SUBDIVISION PARCEL ID# J l ZS""L � 0���"' 'VO� <br /> (OBTAINED FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED e nIEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPiION OF WORK re �QLQ/�� ei (��j�(•ft e (f <br /> BUILDING S12E SQ FOOTAGE � � 1 HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL $� �D' ay VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN . � ry � <br /> COMPANY ' <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address ' <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMP Y CG M Se,('l�� <br /> S�GNATURE EGISTERED Y J N FEE CURRE� Y/N <br /> Address ���5 C.. m�►� � License# `/T`�� yy� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> I 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 1 1 1 1 1 1 1 1 1 1 1 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 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 Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge 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 days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt 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 reqwred for all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of appl�cation,notarized <br /> If over E2500,a Notice of Commencement is required. (AIC upgredes over E7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />