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� s��-�so-oo2o Ciry of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received Phon ContactforPermittin <br /> ���rrrr <br /> Owner's Name � �����Z) -� p� <br /> ( Owner Phone Number <br /> �(� � 1 +h <br /> Owner's Address -�)�`�� � � I Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Numher <br /> Fea Simple Titleholder Address <br /> JOBADDRESS ��`I� �� �!V'C �I� rL 3 S�Idt LOT# � <br /> SUBDIVISION PARCEL ID# � °I " �O l V <br /> ' (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e ,NEW CONS7R e ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM ,� OTHER , <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK J��'1 L' � <br /> BUILDINGSIZE ` a3 SQFOOTA E� HEIGHT � <br /> QBUILDING $ s`7�� Gi�j V LUATION OF TOTAL CONSTRUCTION <br /> O( � <br /> Q ELECTRICAL $ A P SERVICE ' Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , I <br /> OMECHANICAL $ LUATION OF MECHANICAL INSTALLATION �(���� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �- <br /> FINISHED FLOOR ELEVATIO FLOOD ZONE AREA QYES NO ���;� <br /> BUILDER � COMPANY �n <br /> SIGNATURE REGISTERED Y/ N FEE CUR n Y/N <br /> Address �-� `�/ Z � License# �� �� � <br /> y ELECTRICIAN COMPANY <br /> SIGNATURE - rtE�isTe�o 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 Lfcense# <br /> OTHER COMPANY <br /> SIGNATURE �REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licensa# <br /> � � � � � � � i � � � � � � � � � � � � �.� � r � � � � � � � � � � � � � � � � � � � � � � � � � � � � i � � � � � � � i � � � � � i <br /> RESIDENTIAL Attach(2)Plot Plans;(2j sets of Building PI ns;(1)set of Energy Fortns;.R-0-W Pertnit for new construcGon, <br /> Minimum ten(10)working days after submi al date. Required ansite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster,Site Work ertnit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans p us a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)woricing days after submi I date. Requlred onsite,Construc6on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work ermit 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 N W construction. <br /> Directions: � <br /> Fill out application completely. ' <br /> Owner 8 ConVactor sign back of application,notarized , <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over 57500) ' ' <br /> " Agent(for the contractor)or Power of Attomey(for the o er)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMI7TING _ (Front of ApplicaUo Only)��• <br /> Reroofs if shingles Sewers Service Upgrades /VC Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />