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s�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmen� <br /> ; � <br /> Date Received 2^ ��" � Phone Contact for Permitting — <br /> Owner's Name � � � \ � ,L Owner Phone Number � � �l5► <br /> Owner's Address 3� �J50 �� 5�� Q � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3�35 c� ��� S 1 LOT# � �V <br /> SUBDIVISION �2.d O � � PARCEL ID# �O•Zlp• 2.� � � �Z-U � ODU�� I U O <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NEW CONSTR,� ADD/ALT � SIGN Q Q DEIVIOLISH <br /> INSTALL �� REPAIR <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME �STEEL Q <br /> DESCRIPTION OF WORK � O Q.,`�' � � Cl C Qr.`L K.� ��� � �� <br /> BUILDING SIZE SQ FOOTAGE a�U� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> �MECHANICAL $ 1 VALUATION OF MECHANICAL INSTALLATION �/�� <br /> � 3d <br /> �GAS � ROOFING Q SPECIALTY � OTHER ,�j� � <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 CURREA Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COiVIPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY �O � ^S � G <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � ��o��u� �`� License# C�� I 3 � <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 Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site_Work Pem:it for subdivisions/large 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 wl Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$250D,a Notice of Commencement is required. (A/C 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 /> OVER 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 />