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s13-�so-ooza City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ° Building Department <br /> Date Received "` � phone Contact for Permitting __ <br /> Owner's Name �� 5 �'1 �. W°F �q,R � �– Owner Phone Number � 7� OJb �� <br /> Owner's Address � Q � Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J� �� LOT # Ib l'/ <br /> SUBDIVISION ZQ,� �'y �� I� —� PARCEL ID# /' – o? – baf Q Q� – � 6 6 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE � DEMOLISN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � �'�Q,' � <br /> BUILDING SIZE SQ FOOTAGE �__] HEIGHT � <br /> 0 BUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $� ,� � AMP SERVICE � PROGRESS ENE136Y Q W.R.E.C. <br /> !/. <br /> � PLUMBING $ Q��i <br /> ����� / (� <br /> � MECHANICAL $��� _ VALUATION OF MECHANICAL INSTALLATION <br /> �� <br /> � <br /> � GAS � ROOFING � SPECIALTY Q OTHER � <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES ONO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN COMPANY 1 � <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y <br /> Address Q,y� ' 1 � 3� 0 License # ��i7 �� �/17 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL `���I � ��/ COMPANY { 1 � n�n <br /> SIGNATURE ��►C� ��>��"'–'� REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address b � ,s ` $ R�j License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RRENT Y/ N <br /> Address License # � � <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 �acilities & 1 dumpster; Site Work Permit 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 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 /> 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 $5000) <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 PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..�eeds ROW <br />