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sis-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> Date Received •� �� ��3 7ga � ipG � <br /> Phone Contact tor Permitlin <br /> OwneY's Name — F � S�.. Owner Phone Number <br /> Owner's Address � C.RA1 �. fTL_ Owner PAone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �po( ALl.� �� LOT A �� <br /> SUBDIVISION fj 2^$ � PARCEL ID# �� �'e7 � DUO ' OOI D —�O <br /> (OBTAINED FROM iROPERTY TAX NOTIGE) <br /> WORK PROPOSEO e NEW CoNSTR 8 ADDIALT � SIGN Q O DEMOIISH <br /> INSTAL� REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION O BLOCK � FRAME � STEEL O <br /> DESCRIPTION OF WORK n r�} � <br /> ' Sa FOOTAGE � T 0 <br /> BUILDING SIZE NEIGHT �� <br /> BUILDING $�4� . UO VALUATION OF TOTAL CONSTRUCTION <br /> O <br /> OELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I�9 `�' � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �1�'r' <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/ N <br /> Address �'{ z" License # l.(3� 57 � g <br /> ELECTRICIAN C � P � Y <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/ N <br /> Address <br /> License # —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO Y/ N FEE CURqEI. Y/ N <br /> Address License il � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y) N FEE CURREI. Y/ N <br /> Addmss <br /> License # <br /> OTHER C � P � Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> license # <br /> I111111111111111111111111111111111111111 <br /> RESIDENTIlLL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fortns; R-O-W permit fa new conslruction, <br /> Minimum ten (10) waking days after submittal date. Required onsite, Construction Plans, Stortnwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 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-0-W Permit for new construction. <br /> Minimum ten (70) working days afler submitlal date. Required onsile, Conshuclion Plans, Stortnwater Plans w! Silt Fence instalied, <br /> ^ Sanitary Facilities 8 1 dumpster Site Work permit fw all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required Tor all NEW construction. <br /> Directtons: <br /> Fill out application completely <br /> Owner 8 Contractor sign back ot application, notarized <br /> H over 52500, a Notice oi Commencement is required. (A/C upgredes over 57500) <br /> " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMiTTING (Front of Application Only) <br /> Reroo(s rf shingles Sewers Service Upgrades A!C Fences (PIOVSurvey/Footage) <br /> Driveways-Nol over Counter H on pubhc roadways..needs ROW <br />