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s�s-7ao-oozo City of Zephyrhills Perlmit Application Fax-813-780-0021 <br /> , Building Department <br /> , . . <br /> Date Received � Phone Contact for Permitting — <br /> � <br /> � � <br /> Owner's Name �\H SJ� �7� r. ¢ c� �t G Owner Phone Number <br /> Owner's Address � Owner Phone Number <br /> Fee Slmple Tltleholder Name Owner Phone Number <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS ) � � .AJQ LOT# � <br /> � <br /> SUBDIVISION PARCELID# ��2 ' �/-� '�� ' d��� '��Ob — c7 <br /> I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT �I SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM "�I OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � [I� STEEL Q <br /> DESCRIPTION OF WORK A. e.. <br /> BUILDING SIZE SQ FOOTAGE I HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ ��� 'J� AMP SERVICE Q PROGRESS ENERGY Q W.R:E.C. <br /> QPLUMBING $ � �� <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTX � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _ _ . � - -C019P�ElY - - - -- - -- <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN r^ `� - COMPANY �ee5e.. I= �2G���� <br /> SIGNATURE V],V l/� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address (9 2 3�� License#� �C `�pp�3 <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 License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I 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 Pertnit 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&1 dumpster;Site Work Permit for subdivisio�ns/large projects _ _ _ <br /> -i.f3ryi"nFiER�fA� Attach(3j complete sets`of Buiiding Plaris plus a Cife 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,Construcdon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster:;Site V�lork Fertriit 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 NEW construction. <br /> Dlrectlons: <br /> Fill out application completely. � <br /> Owner&Contractor slgn back of application,notarized <br /> If over y2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " 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 Application Only) - <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />