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s�s-�saoo2o City of Zephyrhills Permit Application Fax-873-780-0021 <br /> Building Department <br /> Date Received J_��_ 11 Phone Contact for Permittin C �( ( r 7 � I��1 -/�L� C�'� <br /> 7TTTri <br /> c_ _ < . <br /> Owner's Name -� � � � � � � � Owner Phone Number ! `� - � � � - 2�l <br /> .� � � <br /> Owner's Address `i�j (, � � � ' � } j�� .� � � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS � � ` � � � C� �}� �( ('� Q( � � �` � . LOT # �� <br /> SUBDIVISION PARCEL ID# , _�J � �J - �` ' �.> > � : - E?�> �� C �� - � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN F'� Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK O FRAME � STEEL Q <br /> DESCRIPTION OF WORK. ` 4�}� �� C'Q � ' 1 1 ! 1� � C � "' ,_+C � �' (,� � <br /> � i� �x�� j�� <br /> BUILDING SIZE � SQ FOOTAGE C�� HEIGHT � e ��� <br /> BUILDING $ J� T - � VALUATION OF TOTAL CONSTRUCTION <br /> l� Gl�. � � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.0 <br /> QPLUMBING $ � L �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � s`�� "` ��"� <br /> QGAS Q ROOFING n SPECIALTY Q OTHER � f�!/� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��� COMPANY f ( CC � /� <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y <br /> Address � �� ��� License# �c5 I�t �-f � - <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 REGISTERED 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 /> 1111111111111111111111111111111 111111111111111111111111111111111111 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permk for new construction, <br /> Minimum ten (10) working days atter submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8� 1 dumpster; Site Work Permft for subdivisions/large projects <br /> COMMERCIA� 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 construdion. <br /> ���1 . . . <br /> Direct�ons. • <br /> Fill out application completely <br /> Owner 8� Contractor sign badc of application, notarized <br /> If over 52500, a Notice of Commencemerrt is required. (A/C 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 'rf shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter 'rf on public roadways..needs ROW <br />