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o�o-�au-uucu c;ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved ' F Phone Contact for Permitting �I 3 � 1 `i — � 6 � <br /> , <br /> ._ _..'. , .�.._.__ _.�:.. - -� ....:._ .._ . <br /> Dwner's Name � "''" Ovvner',Phone;Num�er..� <br /> - ;,:_ - � ; :.:;:: __.. _ ; :_. � �•�,.�� . • <br /> Dwner's Address ` - .ld � �/� Oyvner P.Fione�Number: ' <br /> . ' ,�. . ... ... - - _ � ` _ • <br /> ..:�.,-::=,n.,�..=:..-,� r,. ...::-'=,.::.r.:,.;..�= .:..�. ..,_.o_r--s: _ ._ _ � . <br /> Fee Slmpie Titleholder Name Owner Phone Number <br /> Fee Simple 7ltlehoider Address - <br /> JOB ADDRESS � � .�� � � ` V v ' i v V cS C. f' LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IMORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR Q COMM Q OTHER <br /> IYPE OF CONSTRUCTION Q` BLOCK Q FRAME Q STEEL Q <br /> � DESCRIPTION OF WORK ��InJ �C f ��� �o�l�'7��L � �t'� v►' ��rv�r <br /> BUILDING SIZE �SQ FOOTAGE� HEIGHT <br /> OBUILDING $ . VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ �Qo pp .AMP SERVICE Q PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ �6/` <br /> � S <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �C <br /> QGAS Q- ROOFING Q SPECIALTY'Q OTHER <br /> =1NISHED FLOOR ELEVA710NS FLOOD ZONE AREA =OYES NO <br /> 9UILDER COMPAIdY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN ,� COAAPANY <br /> iiGNATUI4E d')• ' REGISTERED Y- FEE CURRE� Y/N <br /> Address _�, � � � License# � � ,� `o <br /> 'LUM9ER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# <br /> AECHANICAL COMPANY <br /> i1GNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License�! <br /> )THER COAAPANY ' <br /> iIGNATURE REGISTERED Y/ N FEE.CURRE� Y/N <br /> Address License# <br /> tESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)sef of Energy Forms;R-O-W Permit for new construction, <br /> Minimum.ten(10)working days aRer submittal date. Regulred onsfte,Constructlon Plans,Starmwater Plans w/SOt Fence installed,_ ___ . __ <br /> __ - -Sanftary FarAtities-8-1 dumpster,SI4e Work Permit for subdlvlsionsAarge proJects — - <br /> :OMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-VV Permtt for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Faciiities S•1 dumpster.Site Work Permit for all new proJects.All commercial requiremerits must meet compliance <br /> �IGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY requlred for all NEW construction. <br /> iirectlons: <br /> Fill out applicatfon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over�2500�a Notice of Commencement is requlred. (AIC upgrades over 57500) � <br /> ' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> IVER THE COUNTER PERMIITING � (Front of Applica8on Only) <br /> ;eroofs ii shingles Sewers Sen►ice Upgrades�A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />