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a�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> A��• + <br /> Date Received � (.E� _ 5 Qj� <br /> Phone ContactforPermitting <br /> r �nt/� �p,(� � 1 �/ r <br /> Owner's Name �� CL 1 V C.. �v'tl�-I' Owner Phone Number l � � °— � . <br /> Owner's Address L�I ��1 � �7�� �' ` Owner Ph,one Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Add�ess <br /> JOB ADDRESS � L�� � �t'T� ` �5� l�+ ' LOT# � <br /> SUBDIVISION PARCEL ID# ��'r2-�� �(��,��� [ �' � <br /> (OBTAINED FROM PROPERTV TA)C NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME 0 STEEL Q y <br /> �! J <br /> DESCRIPTION OF WORK � S � U C � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � C R, �r <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. <br /> OPLUMBING $ ^�� <br /> r,�r.� <br /> ti�•Z <br /> �MECHANICAL $ ��2 VALUATION OF MECHANICAL INSTALLATION � lJ <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA DYES 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 /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS7ERED Y I N FEE CURRE� Y/N <br /> Address c� License# <br /> MECHANICAL '"'� ° �,,; MPANY �� �\VI/d/�� ,�'1 ✓ �' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��1�•+°l lCi'� V��C� �S�'[ License# ' J � <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 I 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 <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 8 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&1 dumpster Site Work Permit for aIl new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERN SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. � <br /> Owner 8 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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (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 />