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s�3-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received , Z —�/ Phone Contact for Permittin - <br /> Owner's Name � w' / �/G!-ycGc.Z(� �� �� Owner Phone Number <br /> Owner's Address ��� Z C T� � T Owner Phone Number � <br /> Fee Simple Titleholder Name �-wv�e-.� � -� Owner Phone Number <br /> Fee Simple TitleholderAddress � �' � �y �� <br /> JOB ADDRESS � � � ��-� ..-� , �S�/� -7 ��lv LOT # C� <br /> c_ <br /> SUBDIVISION � � c3z_ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 5 g � � `� �c-r �� �cv�/� �/l.Z ��� <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ Z '�jr) VALUATION OF TOTAL CONSTRUCTION '�,2 ��d —��' , �"' <br /> �J`� <br /> DELECTRICAL $ AMP SERVICE Q PRp�}2ESS ENFRGY Q�- W.R.E.C.`�, <br /> . <br /> �PLUMBING $ � ZG�� � � ' � ,,, <br /> � �� .` �� �.,�� � , <br /> OMECHANICAL $ VALUATION OF MECHANICAL NSTALk'ATION r���' 'r �`� '�y < <br /> � �..�'! I <br /> , <br /> �GAS Q ROOFING � SPECIALTY �� �THER� c ��� ,• e <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA ��YES NO � <br /> ` ' � <br /> 4 <br /> BUILDER COMPANY ~`' ~ 'w <br /> SIGNATURE REGISTERED Y! N FEE CU REh------ .-���} -"� <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 /> SIGNATUR %lic9 COMPANY / / � ��� / /G� , �. <br /> ��'"+- REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �C �� � '` � � �7 � lG �� License # �� � C - � 3 � �� � 5 <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 Wor1c 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 submittal date. Required onsite, Construction Plans, Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> ""*'PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A!C upgrades over sT500) <br /> ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter ftom ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) <br /> Reroofs if shingles Sewers Seroice Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />