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��3-�o�-�u�� c.:ity of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name � � ti=U j�c� p f- �� li ,���//S <br /> Owner Phone Number <br /> Owner's Address s�,�-�- ��t L,� C 7- p�er Phone Number <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee 3lmple Titieholder Addresa <br /> JOB ADDRESS ���� � � �� <br /> LOT# <br /> SUBDIVISION �� U/G-...� r1��f� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROP03ED NEW CONSTR AbD/ALT � SIGN Q � DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C1[.�f� � pu� y!/!a�L `�ru� /��G �,�c,/ ' �- uy�. �,-- 2 <br /> J <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING s � • � �' <br /> ! � <br /> QMECHANICAL a �= VALUATION OF MECHANICAL INSTALLATION � <br /> .i.SO(�.• <br /> OGAS Q ROOFING �] 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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br />�IIAECHANICAL COMPANY �%'�)'�� � Jo�ti��( .�/C /�G <br /> IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woiicing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllitles 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 construction. <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stonnwater 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 required for all NEW constructlon. <br /> l T�1��1��1 1!7�1 1 1 1��1!I�� � <br /> Directions. ' "'� <br /> Fiil out application completely. <br /> Ovmer&Contractor sign back of appUcation,notarized <br /> If over i2S00,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 notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Pfot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />