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a�saso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br />, Date Received ' �j� �q— a�� 9 / � '��� � �� ` `3 <br /> aZ Phone Contact for Permittin <br /> Owner's Name (��� ��� Owner Phone LNumber o lJ?� ?7 / � � <br /> Owner's Address <br /> ��� " Ll'/�/l�°� �t �Owne�e umber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS I Jv �!N/��� � . L��L'K� vF1 f15 i a�e LOT# � <br /> SUBDIVISION PARCEL ID# �� �� l DD�D Da3�o �/�J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR�ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /�-`�/C �i� � C c� .TON Q�ll e L�b7Y1 �N��� <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 /> QMECHANICAL $ �� ��' � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 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 <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL �,,,_,,,,p ��,^���, COMPANY �� l`OPft/v° � � �(f <br /> SIGNATURE �o'� G���''�"`�'u�� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �{�4/ - /� - License# ���� �'7�� <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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance - <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> �irections: <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 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> JVER THE COUNTER PERMITTING =- -== (Front of Application Only) , <br /> �eroofs if shingles Sewers •� Service'Upgrades A/C Fences�(PIoUSurvey/Footage) <br /> Driveways-Not over Counter�if on public roadways..needs ROW �� <br />� <br />