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$isaso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received > � — — � phone Contact for Permittin �� � �� 1 � �! <br /> Owner's Name d�� 1�� fQl ��^ Owner Phone Number L' � v� l(�� v�� <br /> ^ 1`r G ,�' 2 _ UV �3 '� <br /> Owner's Address �"[ p� 'bwKer Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � V' �[ I � l V LOT # � <br /> SUBDIVISION , PARCEL ID# � � �" aC(G' "� �' �v � � '"� V ���� "" V l U(,� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER �� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> � <br /> DESCRIPTION OF WORK , ,� (�}'� <br /> � ` <br /> BUILDING S12E SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> -� �ll ��� <br /> �) Q� �� <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES 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 REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL ' j������� /�/) �J COMPANY , I S � �l C � �l <br /> SIGNATURE �' �-� � K�" REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ��. I License # G A C L� S�� 7S <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 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 Wor1c 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, Constructlon Plans, Stormwater Plans w/ Silt 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 /> Di�ections: <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 s7500) <br /> *" Agent (for the contraclor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizirtg same <br /> OVER THE COUNTER PERM(TTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />