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s�saso-pozo � �, City of Zephyrhills Permit Application Fax-813-780-002 <br /> Building Department <br /> Date Received /D—�--r� Phone Contact for ermitting -- � <br /> 1 1 1 1 1 1 1 1 1 1 1 t 1 <br /> Owner's Name �� � Owner Phone Number <br /> Owner's Address s v�1 � ner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 1 UG � � �l 1,� LOT# � <br /> SUBDIVISION PARCELID# J — `���— <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e N TALLSTR e R�EPAIR � SIGN 0 Q DEMOLISH <br /> PROPOSED USE � SFR �� COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q F AME STEEL 0 <br /> DESCRIPTION OF WORK <br /> 1 ' ;s r ��� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> BUILDING $� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> OPLUMBING $ � � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �� <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER `G'��3 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � <br /> : : : : : : : : : :—' <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address „ , License# <br /> ELECTRICIAN� � Q�11' �T U{'( � ,I L 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 /> r, <br /> SIGNATURE ���, � COMPANY � s <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �lJ� ���� License# �V `�v <br /> IIIIIIIIIItllllllllllllllll IIIIIIIIIIIilllltlllllllllllllltllllllt <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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br />_ COMMERCIAL Attach(2)complete_sets_of Building Plans_plus_a Life Safety_P_age;_(9)set of Energy-Forms._R-O-W P_ermit.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 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 /> . . . . . : : : : : : : : : : : � L. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITfING (copy of contract 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 />