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. i <br /> .- ' aisasaoozo � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Buiiding Department i <br /> , - I <br /> u' �^Dace 7ec�ived Phone Contact for Permitting -- �� <br /> Owners Name V o� G �EC �/2 ' Ownar Phone Number � / �`�l/ 9 • <br /> � V_'L �—� ' I <br /> Owners Address Owner Phone Number I <br /> � <br /> Fee Simple Titleholder Name Owner Phone Number I <br /> � I <br /> i <br /> i <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �✓�� /��� LOT# � <br /> � _ _. _ /�� /� • <br /> SUBDIVISION PARCEL ID# [/�/�� (/ <br />� (OBTAINED FROM PROPERTY TAX NOTICEJ ! <br /> WORK PROPOSED e NEw CoNSTR B ADDlALT 0 SIGN Q 0 DEMOLISH <br /> INSTALI REPAIR � <br />' PROPOSED USE � SFR Q COMM 0 OTHER I <br /> FRAME <br /> STEEL i <br /> _ TY�E OF CONSTRUCTI�N � �LQCK Q � 0 <br /> DESCRIPTION OF WORK � �C'� I ��/�/� 'D �- I <br /> I <br /> BUILDING SIZE ! SQ FOOTAGE �� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION I <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � IW.R.E.C. <br /> I <br /> �PLUMBING $ j <br /> :, <br /> IV� <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION S�,^'' � � I <br /> �GAS � ROOFING � SPECIALTY � OTHER j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO i <br /> i <br /> BUILDER COMPANY I <br /> SIGNATURE �- REGISTERED Y/ N FEE CURRE� Y/N i <br /> I <br /> Address License# i <br /> i <br /> I <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> i <br /> I <br /> Address License# I <br /> PLUMBER COMPANY I <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> - . � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED ! N FEECU [� � N I <br /> f ti ' I�z `Ta, �pa������ G D.� . 7 • <br /> Address icense# <br /> OTHER � COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N I <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1�1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1�1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, i <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fenee installed, <br /> Sanitary Faciiities 8 1 dumpster,Sile Work Permit for subdivisions/large projects I <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lite Safely Page;(1)set ot Energy Forms.R-O-W Permit for new cons4rvction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Srormwater Plans w/Silt Fenee installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit tor all new projects.All commercial requirements must meet compliarjce <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. i <br /> ""PROPERTY SURVEY required for all NEW construction. I <br /> Directions: � <br /> I <br /> Fill out application compietely. <br /> Owne�8 Conlractor sign back of application,nolarized �� <br /> � <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) I <br /> " Agent(for the contractor)or Power of Attoi ney(for the owner)would be someone with notarized letter from owner authonzing same ' <br /> I OVER THE COUNTER PERMITTING (Front of Application Only) I <br /> IReroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) ' <br /> c <br />