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8�s-�so-oo2� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> _.a Received �Z ��/ ,/�_ <br /> Phone Contact for Permittin : . �7� <br /> Owner's Name �,�(�./ Lh' !� 1�/S Owner Phone N ber � - / - 9(p� <br /> Owner's Address C�q � + � '=��T, �E p/f yR N ��^�S F�, ,�-ya p�er Phone umber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � rYI� LOT� �� <br /> SUBDIVI310N PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONSTR ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �-Pr R�O �' m �T�r L I `��x Q � <br /> BUILDING SIZE 3Q FOOTAGE�� HEIGHT <br /> QBUiLDING S .,7�� �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ffi-� c��"G!f� <br /> r��l J l <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLO Q�ONE AREA QYES NO <br /> v <br /> BUILDER ����2 O� _ � � � COMPANY <br /> SIGNATURE �� ��t� REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� 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 REGISTERED Y! N FEE CURRE� Y!N <br /> Address License# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit fo�new construcUon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 /> � ------------ <br /> +1 11���1�1�f1}11111�e��111111I <br /> Directions. " '+11'"" <br /> Fill out applicatfon completely. <br /> Owner 8 Contractor sign back of appliqtion,notarized <br /> If over:2500,a Notice of Commencement Ia required. (AJC 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 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 />