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a�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin ��J 7�2 -- �j��� <br /> Owner's Name � O � �7� G'' Owner Phone Number <br /> Owner's Address Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number � —� <br /> Fee Simple Titleholder Addresa <br /> J06 ADDRESS � . LOT A� � <br /> SUBDIVISION PARCEL ID# �O o�� �� L�/�� U� Q <br /> (OBTAINED FROM PROPERTY TA7C NOTICE) � <br /> WORK PROP03ED e NEW CONSTR�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 � STEEL Q <br /> DESCRIPTION OF WORK E��D U 2 ' �i�e� �/� � �m LO � � C,� � <br /> BUILDING SIZE �— � SQ FOOTAGEC] HEIGHT <br /> �BUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> .� �� 51 � <br /> [�MECHANICAL $ �y��D VALUATION OF MECHANICAL INSTALLATION \ <br /> <�f U <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � "`b � <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO �G( �p �� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 CURRE� Y/N <br /> Address License# <br /> MECHANICAL � ��, ` �� COMPANY �/t�S �C��j f�°.�N'� <br /> SIGNATURE / REGISTERED Y/ N FEE CURRE� Y!N <br /> Address �� /'%��/✓jCQ� �� License# L /����,�7�� <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 Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacfHtles 8�1 dumpster;Site Work Permit for subdiv(sionsAarge 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 construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciNties 8 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 /> ""'PRpPERTY SURVEY requlred for all NEW consVuction. <br /> DlrecNons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notiae of Commencement is requlred. (A/C upgrades over 57500) <br /> " Agent(for the contracUor)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 Se�wers Service Upgrades A/C Fences(Pfot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />