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a�s-�aaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � .- _ �� � <br /> Phone Contact for Permittin ��� <br /> Owners Name cs� � <br /> e�t c� � �1 ! �'.�\ Owner Phone Number <br /> Owner's Address �� � � o'f cJ St-- Ow�er Phone Number C <br /> Fee Simple Tftleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address �, <br /> JOB ADDRESS �'� �' LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R ADD/ALT �� SIGN � O DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR COMM C� OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � �� � �� '� <br /> BUILDiNG SIZE � r �S .S_/ SQ FOOTAGE i?.�G� HEIGHT C Q � � <br /> QBUILDING $ /[(,�/�U�� VALUATION OF TOTAL CONSTRUCTION <br /> 1 ( <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �] W.R.E.C. <br /> QPLUMBING $ <br /> ���3�,-��. ' �ii7-�j <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � - U <br /> � � � <br /> � �--� � <br /> �� <br /> OGAS Q ROOFING Q SPECIALTY �] OTHER ��`" � <br /> C'��N- .� <br /> �� �, <br /> FINISHED FLOOR ELEVA 10 S FLOOD ZONE AREA QYES NO %1^'��c� � <br /> ��.� � <br /> BUILDER �-� �OMPANY SC�'� -�� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��� J � License# C <br /> ELECTRICIAN I �A.1' v� COMPANY ��j�Q. (;.«,��, L, <br /> SIGNATURE �� ��� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 6p gb 7.-Z.-• (,3�J�9 License# C��30��3 S 3—� <br /> ,� �.� <br /> PLUMBER � � r Y�l�`�'R OMPERED /Y/�(S �FEE C�� ��Y/N (� � <br /> SIGNATURE �� �� <br /> Address �Q� (���� �LU,� �.- ` s f- L(cense# �/L� ���,�j ��� <br /> MECHANICAL ,� ') � �� COMPANY ��2 ���h S�►2A��C,�° cf� PaS� 1,vG � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address G (�O 2 �lc ��j '1`( License# �; ���`��{�(� <br /> OTHER COMPANY <br /> StGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new conskruction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence i�stalled, <br /> Sanitary FaciliNes 8 1 dumpster;Site Work Permit for subdivislonsAarge 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 Faciiities 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 for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applfcation,notarized <br /> If over s2500,a Notice of Commencement is requlred. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if sh(ngies Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />