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s�s-7so-oozo City of Zephyrhills Permit Application Fax 813-780-0021 <br /> , Building Department _ <br /> Date Recalv�d Z !,� Phone Contact for Permittin ��3 ���t' '� - �°�3 � <br /> Owner's Name �2�. Owner Phone Number � <br /> Owner's Address !� �� ���� .L�►2 Owner Phone Number <br /> , <br /> Fee Simple Tltleholder.Name Owner Phone Number <br /> Fee S(mple Titleholder Address <br /> JOBADDRESS 2� � LOT# � <br /> SUBDIVISION _ PARCEL ID# 3Sa2S-a.(-DO �c�o 0 0� - 05�� <br /> (OBTAINED FROM PROPERTYTAX NOTICE) <br /> WORK PROPOSED , B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR [] COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ` /�-( <br /> BUILDING SIZE SQ FOOTAGE � S • HEIGHT <br /> QBUILDING $����� VALUATION OF TOTAL CONSTRUCTION ��93s— <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � 1 b�Q�� / <br /> ���� l/ <br /> � � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � / <br /> '� U�./ � <br /> Q�S Q ROOFING � SPECIALTY � OTHER /� �"- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO v �� <br /> _ l� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres� Cicense# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <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 / l� t COMPANY `�` � <br /> SIGNATURE �� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address / �Z ,w-2.. � �ti1 ��C� Lfcense# C C� �O � Z <br /> RESIDENTIAL Attach(2)Flot 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,ConstFucdon Plans;Stormwater Plans w/Silt Fence installed, <br /> $anitary Facilitles 81 dumpster Sfte Work�P.ermit for subdivislonsflarge proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe 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,ConsUuction Pians,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compllance <br /> SIGN PERMIT Attach(2)sets of'Engineered Rlans. <br /> ""PROPERTY SURVEY required for all NEW construcBon. <br /> Directlons: <br /> FIII out appiicaUon completely. <br /> Owner&Contractor sign back of applicatlon,notarized <br /> If over a2500,a Notice of Commencement is requlred. (AIC upgrades over b7500) <br /> " Agent(for the contractor)or Power of Attamey(for the:owner)would,be.someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITIING :(Front of Application Only) ' ' <br /> Reroofs if shingles Sewers Service Upgrades A/C '�"Fences(PIoUSurvey/Faotage) <br /> � , , <br /> Drlveways-Not over Counter if on publtc roadways..needs ROW, ._ , � � <br />