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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> - Building Department <br /> r <br /> i. ' � • <br /> Date Received �' Phone Contact for Permitting � ��,3 �S� — � <br /> Owner's Name � ''r�� �Z�,� Owner Phone Number �( r/0 7 �v / <br /> Owner's Address C!a .S � (l �/ � OwnerPhone Number <br /> Fee Simple Titleholder ldame Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS C ' LOT# � <br /> SUBDIVISION ���w��� d�- ti. f ��ARCEL ID# �0?-02 G - � - 0 - � D.v-Ud �-o <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE_OF CONSTRUCTION Q BLOCK - Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK � F G�,4�✓� � „�/rt � ' <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> ('y�]MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION v <br /> � <br /> �' � � � � � `P <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER C �� <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 CURRE� Y/N <br /> , , <br /> �. Address Cicense# <br /> PLUM�ER. COMPANY <br /> SIGNATURE REGISTERED Y=/ N FEE CURRE� � Y/N <br /> Address " Cicense#� <br /> ' MECHANICAL COflflPANY .GM �-1 '� �d� Sv (.t, r�'J✓i.,f <br /> � SIGNATURE RE�isTEtte� �Y ,N FEE CURRE� Y/N <br /> Add'ress �ld� C�Sfi �,�'� (� lZ License.#�. C. I� <br /> OTHER� ` COMFANY <br /> SIGNATURE��r � REGISTERED ,Y/.N.. .. FEeCu�ten� .. Y./N <br /> Address � ' � ' License# <br /> RESIDENTIAL �, AtCach(2)Plot"Plans;'(2)`setsof�Building Plans;(1)set of Ene�gy;Forms,R,0-W Permit.for new.construction,. <br /> � � . . . Minimum;ten.(,10)working�,8ays aftersubrriittal�date. 'Required onsite;Constniction Plans,_Stor`mwater Plans w/Silt Fence installed, <br /> Sanita,ry Facillties.&.1,dumpster;Site.Work Permit for subdivisions/large projects. - <br /> COMMERCIAL Attach'(2)'complete sets of Buildirig Plans�plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructfon: - <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 forall new projects.All commercial requirements�must meet compliance I <br /> SIGiV PERMIT Attach(2)sets of.Engineered Plans. <br /> �'"'PROPERTY SURVEY required for aII.NEW construcdon.. _ <br /> : Directions: � . � � <br /> Fill out application completely. <br /> ' Owner&ConVactor sign.back of application,notarized <br /> ' lf over$2500,a Notice of Commencement ls required. (A/C upgrades over$7500) <br /> •' Agent(for'tli'e contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII'TING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROVN I <br /> , I <br />