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. s�saso-0o2o : City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> Date Received � I � � phone Contact for Permitting — <br /> Owner's Name 1 CC �/V�� Owner Phone Number <br /> Owner's Address �� �� /V�w�`-'�� �v Q� Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS J �I � l�e u-�-b�+ �"�- LOT# � <br /> SUBDIVISION ll��Gt./1.(�l , �� J P�CEL ID# J����a-� O��ll ��V DD oZ.4 Q b <br /> (OBTAINED FROM PROPERTY TAX NOT1C� <br /> WORK PROPOSED � WSTALLSTR e REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK 5�� GC Q ef2 S`a-�j ea ve/�c�d ri�ew \✓Q i� <br /> BUILDING SIZE SQ FOOTAGE B v�� HEIGHT <br /> BUILDING $ VALUATION OF TOTAL CONSTR CTIO� l �� 8 C� f �� <br /> � <br /> QELECTRICAL $ AMP SERVICE 0 GRESS ENERGY .R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION kF' C��� <br /> �i. <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> / �S � <br /> BUILDER � 1, COMPANY V S D S G' U <br /> � SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address `-(� � License# �e-C ��� K 7 <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED \ Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new wnstruction, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;('I)set of Energy Fortns.R-0-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Starmwater Plans w/Sitt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ••`•PROPERTY SURVEY required for all NEW construction. <br /> Direetions: <br /> Fill out application campletely. <br /> Ovmer&Contractar sign back of application,notarized <br /> If over 52500,a Notice of Commencement Is►equlred. (AIC upgrades over 57500) <br /> •• Agent(for the conVactor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />