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a��-�ao-oozo City of Zephyrhills Permit Application Fax-2313-780-0021 <br /> Building DepaAment <br /> • Dffie Received Phone Contact far Permitting +a' �� ( — <br /> Owner's Name l..Q �•t� �v�V�' d� � �ner Phone Number <br /> Owner's Address S• � �� `� "� Owner Phone Number �� <br /> 1�Titleholder Name Owner Phone Number �� <br /> � Fee Simple Titleholder Address � <br /> M',/1,/��/�!� �� C� <br /> �(1��,�,y U1�� JOB ADDRESS �C r LOT# <br /> s 2 /��' �('' �GUO <br /> y� � ��O SUBDIVISION PARCEL IDp���� �I�W �O �G�L O v <br /> r � (OB7AINED FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTiON Q BLOCK Q FRAME Q STEEL Q �--� <br /> DESCRIPTION OF WORK C � � � �V` 1� �r \1 �J1'�-C ,G Yt <br /> ! <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUAT�ON OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � (J��v 1 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � C� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> qd��s License# �� <br /> ELECTRICIAN COM PANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> PLUM BER COM PANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREM1 Y/N <br /> Address License# �� <br /> M ECHANICAL COM PANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �� <br /> OTHER �OMPANY ��er �� ��C ti V� <br /> SIGNATURE � h� � cEGISTERED Y N FEE CURREN Y/N <br /> Address � � � �'� . License# � �� ��J 1�� � / � <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 i 1 1 1 � 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 A 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels of Building Pl�s;(1)set of Energy Fortns;R-0-W Pertnit for new construclion, <br /> Minimum ten(10)working days aRer submittal dale. Required onsite,Construction Plans,Stormwater Plans w/S�ft F ence installed, <br /> Sanitary Facilities&1 dumpster;Site Wak Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stamwater Plans w/Silt F=ence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required fa all NEW construction. <br /> Diredions:• <br /> Fill out application completely <br /> Owner 8 Contrada sign back of application,notarized <br /> If over$2500,a Notice of CanmencemeM is required. (A/C upgrades over$7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter hom owner authwizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />