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�,�-�nu-uolo City of Zephyrhills Permit Applic�tion Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Mame �l/�"I C � �-�-- �v�� Owner Phone Number /j- r ��.� � �%'�� <br /> Owners Address � � U U � S �� Owner Phone Number 1 3 q <br /> �� �- s- .�y�� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS �-�- 1�L�/� LOT� �� <br /> SUBDIVISION � —� PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSEDUSE Q SFR Q COMM � OTHER -C ' • !c � i5 ch <br /> 1fYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK , f'_G�C �� � 5 GC" <br /> BUILDING SIZE // ��� Cj�' {�, SQ FOOTAGE HEIGHT �� <br /> �BUILDING IS � VALUATION OF TOTAL CONSTRUCTION <br /> �— <br /> �ELECTRICAL a � � C; AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING a <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE _ REGis�Reo Y/ N FEE CURRE� Y/N <br /> Address License# r� � <br /> ,� <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 I N <br /> Address License# C <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 /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Wo►k Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms. R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittai date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster.Site Work Permit for ali 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 /> Owner&Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement Is requtred. (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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />