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ois-iou-uucu c:ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received — � ^ � ����� <br /> Phone Contact for Permittin � ` � <br /> Owner's Name -1 1 (� Owner Phone Number <br /> Owner's Address �, �`X'� c��- �g �, 3�3 pvmer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��p� �� � ���CL �=( �=zj L( ' LOT# � <br /> SUBDIVISION ] PARCEL ID#� <br /> (OBTAINED FROM PROPERTY TO TicE)DEMOLISH <br /> INORK PROP03ED B N TALLSTR[] REPAIR � �e N�O� <br /> �ROPOSED USE C] <br /> Q SFR � COMM � OTHER <br /> T1fPE OF CONSTRUCTION Q BLOCK [] FRAME � STEEL [� <br /> DESCRIPTION OF WORK �f�-' �,� ' � � , ��� C� J � � — � � <br /> BUILDING SIZE SQ FOOTAGE�—� HEIGHT � "�"��� '��1" -� ` <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> �� � <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> QPLUMBING a <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION J�-/ � <br /> � <br /> QGAS �, ROOFING [] SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES Nq <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE ��tEG�STERED Y/ N FEE CURRE� Y/N <br /> e <br /> Address License# � <br /> OTHER �} �� COMPANY �)Li►�Y1�1 �V��(�� �,(� . <br /> SIGNATURE !1 \b� � REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address �-f . Z �. � `K .33�� �� License# ��CC� .���irj <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)worlcing days aiter submittal date. Requfred onsite,ConsUuction Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facflitles 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COAAMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days aRer submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans 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 for all NEW construcUon. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Conhactor sign back o/appllcaHon,notarized <br /> If over 52500,a Notice of Commenc:ement 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 PERMITTII�1(3 ` (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />