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�,�-�tlu-Wl° City af Zephyrhills Permit Applic�tion Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> {-Alwner's Name �A'�� �/l.�'TJ7�A -� 3 d 9 � �9c� ,- �/SJ?� <br /> `.,. Owner Ph��ne Number -r <br /> �er's Address ��3 d �� 7� �T/L zP I p�er Phnne Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS LOT� � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT C� SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �{-BESCRIPTION OF WORK �/'►1 c>L� �'�G �v G �- �S E. <br /> ( <br /> BUiLDING SIZE SQ FOOTAGE�� HEIGHT C� <br /> �BUILDING $ �--- VALUATION OF TOTAL CONSTRUCTION <br /> J DOC��� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING a <br /> � �-� s c� <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION //� <br /> �` �'�l (G � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER /J <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �'f� � <br /> � <br /> BUILDER �����' � '� '/ <br /> p' ;,`� CO _ ANY �r� <br /> � `SIGNATURE �� ' � .GG- REG1S RED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY <br /> SIGIVATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 /> Addreas License# r <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Pians;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilitles&1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)compiete 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 afte�submittai date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for alt new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consVuctton. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If ove�i2500,a Notice of Commencement Is requlred. (A!C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized Ietter 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 pubiic roadways..needs ROW <br />