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` '�1�saso-oo2o City of Zephyrhills ermit Application FaX-s��-�saoo2� <br /> Building De artment <br /> Date Received , Phone Cor�tact for Pe ittin �� tpyy — �� � <br /> -TTr <br /> Owner's Name � Owner Phone Number 5' 1'T V <br /> Owner's Address I r Owner Phone Number <br /> Fee Simple Titlehoider Name r— � Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 1 Y'O�l"f U a� r 1�lS '�C, � 'I� LOT# I� <br /> SUBDIVISION PARCEL Ia# 3� [�(�' ZI� O)�—��� � O �OO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME STEEL Q <br /> DESCRIPTION OF WORK � Z � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ �y-� rv1 VALUATION OF T TAL CONSTRUCTION � i�`�S �" <br /> W.W <br /> QELECTRICAL $ AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �r ✓ � , / <br /> � � " � p�� V � <br /> �MECHANICAL $ VALUATION OF M CHANICAL INSTALLATION � �- ����i v`-' <br /> ��✓[/'� <br /> QGAS Q ROOFING Q SPECIALTY OTHER � �T' <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE REA YES NO � <br /> � <br /> BUILDER COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPAN <br /> SIGNATURE REGISTERE Y/ N FEE CURREP Y/N <br /> Address License# <br /> MECHANICAL COMPAN <br /> SIGNATURE REGISTERE Y/ N F Y/N <br /> Address �- License# <br /> OTHER COMPA ��• �31. <br /> SIGNATURE REGISTER Y/ N fEE Y/N <br /> Address � �' • . �7'T� License# <br /> 1111111111111111111111111111111111 1 111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ene y Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 81 dumpster,Site Work Permit for subdivis ons/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety P ge;(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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new rojects.All commercial r�equirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out applicaGon completely. <br /> Owner&Contractor sign badc of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades o er E7500) <br /> *' Agent(for the contractor)or Power of Attomey(for the owner)would be som ne 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(PIoU rvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />