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°"-'tl1-"u`� c:ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received i 2 %� <br /> Phone Contact for PeRnittin �� / __ / �� <br /> Owner's Name ��'� ��' Owner Phone Number �. - C - I ��� <br /> Owner's Address � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number r <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � (�� ] LOT# �Cy-31r <br /> SUBDiVISION 7 r PARCEL IDA� � �j , 1 (�i Q � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED � NEW CONS7R 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> 7'YPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��-� Q l` (�����, ��'����� <br /> BUILDING SIZE ) � SQ FOOTAGE I� � HEIGHT �� <br /> QBUILDING S�l , VALUATION OF TOTAL CONSTRUCTION <br /> �/ �UQ <br /> �ELECTRICAL a ' � ��� AMP SERVICE ��� [� PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �"� , j[���/ <br /> V � � 1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �a�� DC� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES CO% <br /> S GNATURE ' _������1`�"-'` COMPANY �J �� � <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � � �� `L— �' 2 h �IS ��J� License# T��� �C� j J �� <br /> n p� <br /> ELECTRICIAN � � r� lr� COMPANY �� <br /> SIGNATURE 1 �"�/'��� REGISTERED Y/ N FEE CURRE� Y/N <br /> � c � Ylf 1 � License# �-�C_� ��lp�-�_ <br /> Address �' � <br /> PLUMBER ! COMPANY ����- C�.� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address , _ `�I� License# �:µ ��� -�'j� �� <br /> MECHANICAL � COMPANY � � <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � YL. 11 �'V ( I �J � License# �,{���-�'��� I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL AtNach(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 instalied, <br /> Sanitary FaciBties 8 1 dumpster;Site Work Permit for subdivisionsRarge projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Lffe 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 Pians w!Silt Fence installed, <br /> Sanitary Facilities 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 /> ""'"PROPERTY SURVEY required tor all NEW c�nsVuctlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appflcatlon,notarized <br /> If over 52500,a Notice of Commencement la 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 Appiicatlon Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PioUSurvey/Footage) <br /> Driveways-Nof over Couhtet N onpubiic roadways.:needs ROW . <br /> ... ' . <br />