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s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received, Phone Contact for Permitting – <br /> Owner's Name h � ��l i Owner Phone Number -� <br /> Owner's Address � W �Owner Phone Number ���—�9c�3� � � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address �, <br /> JOB ADDRESS ��� � � ���.�5 /�V,Q, LOT# � <br /> SUBDIVISION PARCEL ID# <br />, (OBTAINED FROM PROPERTY TAX NOTICE) <br />' WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �a�n -2 p,�- � �p� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br />� QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> ��'�� 1 <br /> �MECHANICAL $ %� �� c sav VALUATION OF MECHANICAL INSTALLATION <br /> ��� J J <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER � ��V�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 �oa(`d10.S l�lea,�� � �.jOI� <br /> SIGNATURE REGISTERED Y/ N FEE C E� Y/N <br /> Address License# ��.�� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil(ties&1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Pertnit for all new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'"PROPERTY SURVEY cequired for all NEW constn�ction. <br /> Dlrectlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. '(A/C upgrades over$7500) <br />�i " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Applicatio�•Only)'�" '� �' ,. " <br /> Reroofs if shingles Sewers Service Upgrades A/C �,Fences(Plot/Survey/Footage) . <br /> ', , , , . L <br /> Driveways-Not over Counter if on publlc roadways:.needs ROVV <br /> , <br />