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si3-'�°-°°z° City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> `��i �-- �-x � - 5 ��t Z v� <br /> Date Re�.�ived _ 7. � '-' � <br /> Phone Contact for Permittin j <br /> Owner's Name � �C. Y' 1 p� ( � � lS � Owner Phone Number 3 g 3��a � <br /> Owner's Address �J`"� 5 � r�✓l�C.l.)C?C3G'� �Y� - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS b� �� P J �_ LOT # �� <br /> SUBDIVISION �✓'� C,iO�_ , PARCEL ID# �� G��Q�p` �'�,3 ` 1j Q -�Q �(� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGa �] Q DEMOLISH <br /> INSTALL 8 REPAIR �pp'�- <br /> PROPOSED USE Q SFR � COMM � OTHER S y� � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��C� �- y� ��G p� �j 6 Ly1 ��S <br /> BUILDING SIZE SQ FOOTAGE �O C7 HEIGHT <br /> �BUILDING $�� rJQ 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 /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES 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 <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � License # <br /> OTHE ` • '° COMPANY �Ci� QQ \✓� ""t-►' ?L- � <br /> SIGNA REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �c7�- � S� � 1� yl l( l S � 3� S�-( � License # �- SSD 5 <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding 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 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 days after submlttal 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 requlred for all NEW construcUon. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is requlred. (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 />