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s�s-�so-oozo City of Zephyrhills Permit Application Fax-S13-780-D021 <br /> Building Department <br /> Date Received Phone Contact for Permittin _ <br /> Owner's Name e Owner Phone Number � S Z6 Z �(p � <br /> Owner's Address �q � J Z !� �� Owner Phone Number <br /> Fee Simpie Titleholder Name !'1 Q�,C J�, L�G Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> Q' 1 S i�-�s A./'2 h r l�.t�(•�.� f^—,� <br /> JOB ADDRESS � �SZ ZL / 1V e— LOT # C� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR � <br /> PROPOSED USE SFR COI OTHER e ! <br /> TYPE OF CONSTRUCTION OCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ,S G�,t I.� C'� d <br /> BUILDING SIZE � 2 - � Z-� SQ FOOTAGE C�O HEIGHT <br /> BUILDING �$ � VALUATION OF TOTAL CONSTRUCTION <br /> QEIECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING � ll � 3 � <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� COMPANY <br /> �IGNATURE 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 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 /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; R-O-W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Sfit Fence installed, <br /> Sanitary Facilitles 8 1 dumpster; Site Worlc Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Llfe Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucGon Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facililies 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 ali NEW construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is required. (A/C upgrades over iT500) <br /> *' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Piot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />