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a��-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone ConWd for Permittin {/{.�� /) <br /> Owner's Name � Owner Phone Number �S ( <br /> P <br /> Owners Address Owner Phone Number <br /> Fee Simple TiNeholder Name O N Owner Phone Number <br /> Fee Simple Titleholder Address ij �Q <br /> JOB ADDRESS 1J LOT!! � <br /> SUBDIVISION PARCEL ID# � 2�J'Z�� � 8� O� O880a"�pQ <br /> (OBTAINED FROM PROPERTY TA7C NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT O SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��N T FIT—OVT <br /> BUILDINGSIZE I O SQFOOTAGE Za Q$a HEIGHT 1•0~ <br /> �BUILD�NG S • • VALUATION OF TOTAL CONSTRUCTION• <br /> � �d <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � � ,��n �_ <br /> �P�"�-v��� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATtON n _ _ �� �- ((J � <br /> �%��1�{YL � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER l� S(�,b S <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> � NGC <br /> � � � � • � � � � � • � � � � � � � � � - � � � � � � . - <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURREn Y/N <br /> Address License# �� <br /> ��/"h ' � <br /> ��� ELECTRIC� �e ���/ COMP/WY <br /> i� SIGNATURE �-h• REGISTERED Y/ N FEE CURRE� Y/N <br /> , _ ____�- <br /> dress license� � <br /> • ��,///,,, PLUMBER � COMPANY <br /> � nnA �./ SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> ,/�(Jl�� <br /> �� Address <br /> License ii � <br /> �.J �_,^, MECHANICAL� � ,11�' � � COMPANY -� <br /> 1\ (J'�_ SIGNATURE �T REGISTERED Y/ N FEE CURRE� Y I N <br /> dress License# �--� <br /> /� <br /> .��� ��a�e., �.�_,� �•,s,� � <br /> �°��`6 REGISTERED Y/ N FEE CURREP Y I N <br /> ���3"��'_ <br /> � +�, <br /> �7Ca Z ' ' ' '�" ' ' ' ' " ' ' ' " ' " " ' ' ' ' ' ' ' " " " _ .LWitlr�r' ' ' ' ' ' ' ' <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit(a new construction, <br /> Minimum ten(10)waking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projeds <br /> COMMERCUIL Attach(3)wmplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater 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 construction. <br /> � � � 1 � � � � 1 � � � � � � � � � 1 � � � � � � � � � � � � � � � � � � � � � / � � � � � � � � � � � <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back o(application,notanzed <br /> Ii over 52500,a Notice of Commencement Is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ownerJ would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counler N on public roadways..needs ROW <br />