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, •$��-7ao-oozo City of Zephqrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 5 1 ����l phone Contact for Permitting ��� " '� --�� `'�� <br /> eae � � t � � � � � � � <br /> Owner's Name <br /> ���y� � ��� b��. Owner Phone Number ��3 � � °� �'�� � <br /> Owner's Address ���� ` � '��`�\ ��• Owner Phone Number �� �� J °3 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �� ����` ��' LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK 0 FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � `� C -� Q� - �.,� I V�'� ��� : � �v� PlL � 1 i <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ ��� <br /> VALUATION OF MECHANICAL INSTALLATION (�t� <br /> �MECHANICAL $ ���l `�� . /�I <br /> . ' <br /> �GAS . � ROOFING Q SPECIALTY 0 OTHER <br /> . FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> ��i . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN • COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> License# <br /> Address <br /> MECHANICAL COMPANY ' U`I TZ -� `b° {'•r ��:'<.T t �L <br /> SIGNATURE '' __,� _ R TERED Y N FEE CURRE� Y/N <br /> Address � 35�y �. S �U , . 5 License# � Ct �l �} <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> License# <br /> Address <br /> 1 1 i 1 1 1 1 1 1 1 1 II 1 1 8 1 1 1 6 1 1 1 1 1 E E 1 1 1 1 1 1 1 & 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 9 1 1 1 1 1 1 1 9 I 1 1 1 � e 1 1 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Buiiding 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 Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians pius 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 instalied, <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 construction. <br /> � -P.—.� <br /> � - � . <br /> Directions: <br /> . Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owne�)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 />