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, ais-�so-oo20 _ _ _ City of Zephyrhills Permit Application Fax813-780-0021 <br /> \ �` Building Department <br /> Date Received �'� — I Phone Contact for Pertnitting - �, <br /> Owners Name � � ���5' Owner Phone Number ` � <br /> Owners Address -/ S L �' � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> , Fee Simple Titieholder Address <br /> JOBADDRESS _ � ��� -�rLL S LOT# � <br /> SUBDIVISION PARCEL ID#� ' <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57R B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �OTHER u/S <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> r� <br /> DESCRIPTION OF WORK � <br /> BUILDING SIZE-' SQ FOOTAGE� HEIGHT <br /> ✓BUILDING S ��7 /9 VALUATION OF TOTAL CONSTRUCTION <br /> / W <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �L�� <br /> � � J <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> l � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> ,r ,� <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER �C�MPANY �r-�1LL U ,S <br /> SIGNAT REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3 S cj /�'�`y� c.��l0 Q License# �acv oZ��! <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWCtion Plans,Stortnwater Plans w/Siit Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requiremenls must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERTY SURVEY required for ali NEW construction. <br /> Directions: ` •��°'� <br /> Fiil out application completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />