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s�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depa�tment <br /> ' Uate Received `( �( Phone Contact for Permittin � O� � <br /> /�_ � n <br /> Owner's Name ►'1 - � �c�f{r( � �- 1'"� S �Owner Phone Number � 2 j�� — � <br /> Owner's Address ��� �6 S� Owner Phone Number <br /> Fee Simple Titleholder Name �Qf� Owner Phone Number �(� g f� ol <br /> FeeSimpleTitleholderAddress 5 � '�l 3',' - r����S �� �?j a <br /> JOB ADDRESS � �� S� � � S LOT # �� <br /> SUBDIVISION PARCEL ID# �"�-�D � '- (� — [ �'� ��O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK ` jr� (`j � , S Vti'L t .R � S <br /> C�e���e� <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT C ��'� <br /> �BUILDING $ OQ ^ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QP�UMBING $ / _ „,� (��� �';�I � 2 j� ��� <br /> ��1.� ��.v� i <br /> MECHANICAL �� <br /> 0 $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY � OTHER �q S� <br /> -� r <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 COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � License # <br /> OTHE '�- COMPANY '� 4 <br /> SIGNA REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address pC �j3 License# Z��� <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 Work Permit 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 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 57500) <br /> *` Agent (for the contractor) or Power bf Attomey (for the owner) woWd 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 />