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°'�-�4acr,2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received <br /> 7 rr�� � � � Phone Contact for Permittin <br /> Ow�er's Name ��(� f <br /> Owner Phone Number <br /> Owners Address / � { Owner Phone Number � 1 <br /> J <br /> Fee Simple TiUeholder Name �� <br /> Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �/ ' � r� <br /> LOT# L <br /> SUBDIVISION I7 � PARCELIDp �3 a�_,� j ',��J����nnn� 'p ! <br /> (OBTAI D FROM PROPERTY TAX N TI��-� <br /> WORK PROPOSED NEW COnISTR ADD/ALT [�� SIGN Q Q DEMOLISH <br /> e INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM �� OTHER � <br /> TYPE OF CONSTRUC710N Q BLOCK Q FRAME C� STEEL Q �—� <br /> DESCRIPTtON OF WORK � �} � E7 Z� S� �-�lrn n J�-��� <br /> � y <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENER �W.R.E.C. � <br /> QPLUMBING $ � <br /> � IECHANICAL $ 0 VALUATION OF MECHANICAL INSTALLATI N /�� � <br /> � � � � �� <br /> QGAS Q ROOFING � SPECIALTY �� OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �-- <br /> BUILDER � COMPANY � <br /> SIGNATURE REGISTERED Y/ N F�cuwtEn y/N <br /> Address License t � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURREn Y/N �� <br /> Addreas license# � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y!N <br /> Addreas License d � <br /> MECHANICAL /� � COMPANY e � <br /> SIGNATURE � ✓��� REGISI'ERED Y/ N RE� / `� <br /> Address �� Q! /"�C�' Licens _C��L C7_j�c.,��� <br /> OTHER � COMPANY � <br /> SIGNATURE ��iS7eReo Y/ N FEE CURREA Y 1 N � � <br /> Address License# � <br /> Illllltllllll / 11111111111111111111111111111111111111111111111111111 <br /> RESIDEN7IAL AKach(2)plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, <br /> Minimum ten(10)working days aker submittal date. Req�ired onsite,ConsWdion Plans,Stormwater Plans wl Si�t Fence installed, <br /> Sanitary FadBties 8 1 dumpster;SNe Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new consnLCtion <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenas installetl, <br /> Sanitary fadli6es&1 dumpster Site Work Pertnit for alt new projects.All commercial requirements must meet complianr.e <br /> SI(iN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required fw all NEW construction. <br /> Directions; <br /> Fill out application completey <br /> Ovmer 8 Contrador sign badc of appliration,notarized <br /> If over 52500,a Notice of Commencement is►equired. (A/C upgradea over;7500� <br /> " Agent(for the contractor)or Pov✓er of Attomey(for the owner)w�ould be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />