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s�s-�eaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> !�,/� �f <br /> Owner's Name 7/T ,L� �/✓• Owner Phone Number <br /> Owner's Address ��� � ��/r.,� �' Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple ti�eholder Address <br /> J08 ADDRESS �� L. ��� L'7 LOT# � <br /> SUBDIVISION WCU6'E'wF/0 PARCEL ID# � ���° ��/-' 0���^��� �'O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B new coNSra 8 ADD/ALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U�E Q SFR Q COMM Q OTHER <br /> TYPE bF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK — /C.��� �� ���� 3Q � �lL��z� Sl�/�/l-4�f <br /> BUILDING SIZE SQ FOOTACaE� HEIGHT <br /> QBUILDING $ rO� VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � (�� � <br /> QGAS Q�ROOFING Q SPECIALTY Q OTHER �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � COMPANY (J" lN OD��� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �� f � ���C e/`T �' License# r����76�Y�_ <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 81 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)compiete sets of Buiiding Plans plus 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,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 consUuctlon. <br /> Directions: <br /> Fill aut appiication completely. <br /> Ovmer&Co�tractor sign back of application,nota�ized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over s7500) <br /> " Agent(for the conVactor)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 />