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\ � <br /> '� 813-780-0OZO City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - Building Department <br /> Date Received � Phone Contact for Permitting �3 .r <br /> 1 1 1 1 1 1 1 t 1 1 1 1 1 <br /> Owner's Name '✓�� �e• Owner Phone Number �.3� 7� 7 ��y/ -� <br /> Owner's Address 3 S��D �D K�� /`T I/� 3 3 S � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� Q J��µ'►►1 � �y�r�`S 33 S y� LOT# �S ��� <br /> SUBDIVISION � �� �'1�/70 PARCEL ID# � "d�G� /- •- 00 G DO—O/S D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION.OF WORK S/11��L \�LG�G�e%1't�I't� r, - /�e.�G�� 3�� ��J'E; <br /> BUILDING SIZE I��C 3a- SQ FOOTAGE 3 s� HEIGHT <br /> QBUILDING $ �O `o VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � 0 PROGRESS ENERGY Q W.R.E.C. <br /> QFLUMBING $ �`� <br /> �`b <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> t <br /> BUILDER 6�� ,I�,� n / COMPANY ��her� �� Kp` p� <br /> SIGNATURE t' �'�v� REGISTERED Y/ N FEE CURREf� Y/N <br /> Address License# . <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 /> IIIIIIIIIIIIIIII. IItlllllllllllllllllllllllllllllllllllll" 11111111111 <br /> RESIDENTIAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set of Energy Forms;R-0.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 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 w%Silt Fence installed, <br /> Sanitary Facilities 8�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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nbtarized . , _ <br /> If over$2500,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 /> OVER THE COUNTER PERMITi7NG (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 />