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s�3-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received � l.�/ Phone Contact for Permittin l� � 0 � – C� /� <br /> Owner's Name dGr��✓ l�/ G�✓ �e /�/J`/ L G� C Owner Phone Number �( ���o �? S�G � <br /> Owner's Address � S (�r/�✓ G�✓ oCY�(�"� �f ��Y Owner Phone Number �— <br /> Fee 5imple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��.0 �/,/ L✓�/ �' �/� ✓l �/� '- LOT # � <br /> SUBDIVISION PARCEL ID# � S�� J�� d�/ � D�r �OG d�G G <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER — <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK /'�S ��// / � G���2.✓,f �j.Q� � d .p f ��OlC ��j?L� y/� ia-� � S/'l�/ � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT f�J I' ` a � /'" <br /> OBUILDING $ � 0� VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ( �� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � / / / <br /> BUIIDER � � � COMPANY �1� /v�� ��'�✓/� �- e- <br /> SIGNATURE / �'� �` �fY/4 �/ REGISTERED Y/ N FEE C RRE� Y/ N <br /> Address � / !/�.�s� �l �''''� ���C /,/ �� �� License # � ��� 3 Z <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 construction, <br /> Minimum ten (10) working days after submittal date. Required ansite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities 8 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 iiays after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 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 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. (AIC upgrades over 57500) <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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />