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aiaaao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �/ ��v�/ <br /> �_r�_r —� � Phone ConWct for Permiltin ��� 7 �(C•p__ � � � IC�' <br /> /� T <br /> Owners Name N , Owner Phone Number ��' •3�j <br /> Owner's Address � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS Z � Y�Qj � � <br /> LOT# �� <br /> susoiwsioN �S PARCEL ID# �Z•Z(p•2I'0�3D' �p p• O�(p O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED nIEW COnl57R ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK V 1l� W � <br /> BUILDtNG SIZE SQ FOOTAGE ��, HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCT�ON <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R.E.0 <br /> �LUM8ING $ n ��� <br /> _�, � / � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY �� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ..� <br /> Add ress � ��!`� <br /> ` License# � <br /> PLUMBER COMPANY ��.�, pQ/� Of'� <br /> SIGNATURE REGISTERED N FEE CUR Y/N <br /> Address W . � `I License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> S�GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Srte Work Permit for subdivisionsAarge projects <br /> COMMERCIA� Attach(3)complete sets of Building Plans plus a Life Safety Page,(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster Site Work Pertnit for all new projects All commercial requirements must meet compl�ance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY reqwred for all NEW construdion. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notanzed <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Serwce Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivaways-Not over Counter if on publ�c roadways..needs ROW <br />