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s�3-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � -- <br /> Phone Contact for Permitting <br /> Owner's Name /�-k �� �e rnr4 id Owner Phone Number �I3 � 78 933 <br /> Owner's Address <br /> s.2� �� * .S�/�c'�' OwnerPhoneNumber �i�,�" s�� .3� <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS C LOT # � <br /> SUBDIVISION PARCEL ID# / / - �G - .� � - - / vvd - DOD S <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL � OTHER <br /> DESCRIPTIONOFWORK �,5'el��ce �n���.�C� /1��-��� t D�sGo�+neej �,aep S,Nf�/��' � <br /> BUILDING SIZE �� SQ FOOTAGE HEIGHT <br /> 0 BUILDING �$ VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> � ELECTRICAL $ � AMP SERVICE 0 P RESS ENERGY -- W.R.E.0 <br /> s�. /sd � <br /> � PLUMBING $ � � N jl <br /> �J j o� ( <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> � GAS Q ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # <br /> ELECTRICIAN � )��� COMPANY � � <br /> SIGNATURE 1 REGISTERED Y! N FEE CURRENT Y/ N <br /> Address 39/�� T A'��Y � Z /�! ./� �� 33,S5�D License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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 submittai date. Required 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 construction. <br /> Minimum ten (10} working days after submittal date. Required onsite, Construction Plans, Stormwate� Plans w/ Siit Fence installed, <br /> Sanitary Facilities & 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 /> Fili 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 (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />