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�,e-�uu-u��zu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � � / <br /> Phone Contact for Permittin _ <br /> Owner's Name Owner Phone Number ��3 "7�(0 ��(p(p ) <br /> Owner's Address 5 �27 O'�' Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��? p'�' y`� LOT # �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B N TALLSTR 8 DD/AL 0 SIGN [� [� DEMOLISH <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK rpq! ,c .cs ,L •�S + a.J <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY �1At.fiE.C. <br /> 2Q G � <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l <br /> r q�� <br /> QGAS Q ROOFING Q SPECIALTY 0 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 �iu�dJSF Gl�G !C <br /> SIGNATURE REGISTERED N FEE CURRE� Y <br /> Address � � .� � / 3? License # EjLfjd !S/ <br /> PLUMBER t �Ji F� i ✓�SSZ'3 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 /> RESIDENTIAL Attach (2) Ploi Plans; (2) sets of Building Ptans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Ariach (3) complete sets of Buiiding Plans pfus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constnicaon. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Pertnit 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 construcUon. <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 s7500) <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 />