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$�s-�ea-ao2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> Owner's Mame ��C��L' s Gt 1 D Owner Phone Number 7�.�''Z /�--� <br /> Owner's Address 0�3 � h ! � 1✓2- pwner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION Z{ k/i�M� � PARCEL ID# <br /> (OBTAINED F�PROPERTY TQ nce!DEMOLISH <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK S � �G1Q� ✓1 L(s�k <br /> BUILDING SIZE �FOOTAGE ��, HEIGHT � <br /> OBUILDING $ <br /> 7OQ; �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY <br /> Q W.R.E.C. <br /> QPLUMBING $ <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �7 f/ <br /> � 1 �� / <br /> C]GAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �7/ <br /> BUILDER �J COMPANY L°I32�- �C�/fC't <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� <br /> Y/N <br /> Address � �� �ls � � � <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECNANiCAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Fadlities 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Aftach(3)complete sets of Build(ng Plans plus a Life Safety 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 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 constructlon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> '. If over s2500,a Notice of Commencement(s required. (A/C upgrades over s7500) <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 PERMI7TING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AJC Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />