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°"-'°`�"""' C:ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �r �/� <br /> Phone Contact for Permittin ?L __ �^i <br /> Owner's Name <br /> Owner Phone Number <br /> Oxvner's Address <br /> Owner Phone Number <br /> Fee Simple Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS .3 �D � � � � <br /> LOT�t <br /> SUBDIVISION PARCEL iD�k <br /> (OBTAINED F�pROPERTY T�rice)DEMOLISH <br /> UVORK PROP03ED e NEW CONSTR 8 ADD/ALT [� SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> .-- <br /> DESCRIPTION OF WORK yf �- r.,ii✓ /Z �v/ !' <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> QBUILDING a <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECT AL $ AMP SERVICE �] PROGRESS ENERGY [� W.R.E.C. <br /> LUMBING a �� („ � <br /> G� .��� ��,l'f�S i_Yy�Y �` <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ,,,�p� <br /> /'"' <br /> [�]GAS Q ROOFING Q SPECIALTY �_] OTHER ��� �(� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO (Jl� <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 <br /> License# <br /> PLUMBER COMPANY 'V lP vuf G�iG �" <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ,- � ��� License# J'�./ ^Q�9'/7 <br /> MECHANICAL COMPANY <br /> SIGNATURE 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 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 Fadlitles 8 1 dumpster,Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permlt for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w1 Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGM PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construcUon. <br /> „�����.��..���„���.������.� <br /> Di►ectlons. '"''"'11 <br /> Fill out appliption completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over S2S00,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 Applicatlon Only) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />