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a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Ftec�ived� � "��"� phone Contact for Permlttin __ ,3�,�L. <br /> Owner's Name f�.Q,✓Q 5 �� rV7 0✓S Owner Phone Number U � 3 '"7�7�� 9 <br /> Owner's Address cS� Owner Phone Number <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS I �" ,5 LOT# � <br /> SUBDIVISION � (�� Z ,L h � PARCEL ID# ` ' " ^CJOCO•^ r E7c� — DP O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONS7R I� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL n REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q� FRAME Q STEEL Q <br /> ' l ` /� i j1��n <br /> DESCRIPTION OF WORK C� C� Lv� i Q'OZ <br /> / � <br /> BUILDING SIZE � � SQ FOOTAGE�� HEIGHT pL <br /> UILDING �/,, � VALUATION OF TOTAL CONSTRUCTION <br /> F� �- . <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � ��� ,. �� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER '���c, ,�L�V 3-/j��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO (J��`' h�'3�''�` <br /> �� �' ,�c � _� <br /> BUILDER � y��—' �' � ,� COMPANY �: % ` W l r� �D/' f j/t e <br /> SIGNA�URE v RE�ISTEREC Y/ FEE CURRE� J N , ' •-- <br /> Address License# � ��oZ S 7��,� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REcisreReo 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 CURRE� Y/N <br /> Address License# � <br /> tttti . . . - .- <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)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fadlltles&1 dumpster;Site Work Permit for subdivlsions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <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 consUuction. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement Is 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 PERMITTING (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 />