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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittln _ <br /> Owner's Name �� ��, � v� �.�°�. ��-t !'��"� S'��5 Owner Phone Number <br /> Owner's Address u� 3� ���t'(Ch`�("�t &°�•,���� -�`'`� Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �'J 5 v Z b�' S'S� �' (a,4-�z g l"J i 22 � �^ �' �<<S �� I, 3� 5 4 a LOT # �� <br /> SUBDIVISION PARCEL ID# t � � � � - � 1 - � � � � �� 1 v v - �� 5 (� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK p� `^'�v � ��°'= �•�' � :.� �c� �`^-5f"'''�`�"� �t" `�,( <br /> v <br /> BUILDING SIZE SQ FOOTAGE � b � v HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �.,� - � COMPANY � vw"-.�, �c.�s{�!'uc.�`�"� «� �(n2i�.i,�Q, ��}'�. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address • �(1 3 S'� 5`t, ? � � � r k� z �� �iy �+ �icense # �-G� �- t � � � � � <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 REGISTEREO 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 Forms; R-O-W Permit for new construcGon, <br /> Minimum ten (10) working days after submittal date. Requlred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 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 construcdon. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciliUes & 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 requlred for all NEW construction. <br /> ���ii' i ������ m� � � Pi f �� 1 1 � � r� r� ��� � <br /> � a.a � a u � � aaiLl IJ.L 1 lJJ1L 1 1 L-N1LIJ111 <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 ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />