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sisaso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � <br /> Date Re�eived '/,,� / / Phone Contact for Permittin �� / ��� _ g � '� <br /> Owner's Name � � ��j � �,;� ,� �/.' � .� _ Owner Phone Number � % � l 6 � <br /> Owner's Address � I �� t� qC. Q 'l Owner Phone Number �— <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB A� � �� 7 � �-rAJ C V ✓J ' LOT # �� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FRO PERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��.5% �U � S� I � �qrL' uN �� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> UILDING $ • � vd VALUATION OF TOTAL CONSTRUCTION � <br /> C� <br /> � LECTRICAL $�_ � AMP SERVICE PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ��I , � ` � <br /> �,��- 1 I Z/� f b <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES NO <br /> BUILDER � , COMPANY O ��l ' � � : v � � ` ) w �I e�' � ` <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N <br /> Address ! N � � Y � � �� 03 �Z � <br /> 7 � �� b �� License # <br /> � <br /> ELECTRICIAN �� COMPANY ( ..�7i /� /,t� <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 /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; 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 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 Ptans. <br /> ""'*PROPERTY SURVEY required for all NEW construction. <br /> �17T7�����r���������ii��� <br /> �i+i�� � �.�-�.a 1 LLLL 1 I J111! I1 I L <br /> Dtrections. <br /> Fiil 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 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 (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />