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a�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' �-- Building Department <br /> „� <br /> .�` <br /> Date Received r Phone Contact for P �Z �� — �� � <br /> Owner's Name � d O er Phone Number 'Jo� �-� <br /> Owner's Address, Jb � v T" '�' Z Own Phone Number � ��'���� <br /> Fee Simple Titleh� Ider Name Own Phone Number �_ <br /> Fee Simple Titleholder ress � � <br /> JOB ADdRESS b� � lb������� I^� ���t n�� ��� LOT # � <br /> SUBDIVISION PARCEL ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK � S� � QCe �{Jr �� �L, <br /> /�-� r /,f�,y}� Ul��h�ul <br /> BUILDING SIZE SQ FOOTAGE �v HEIGHT � <br /> �BUILDING $ �� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ (�„� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> .� <br /> �PLUMBING $ � � c ,� i� l� Z9" �� <br /> �'j - ��� <br /> �MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION J /� � <br /> GAS � � � [ � <br /> � Q ROOFING Q SPECIALTY 0 OTHER � C� �C /��� j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � <br /> BUILDER ,.�` py�� w� COMPANY W�C�� ' <br /> � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> LECTRICIAN COMPANY <br /> IGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License # � <br /> � PLUMBER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �_ <br /> ECHANICAL COMPANY <br /> SIGNATURE �� REGISTERED Y/ N FEE CUR E� Y/ N - <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ub� C' � � 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 8 1 dumpster; Site Work Pertnit 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 & 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;7500) <br /> *` Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />