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��s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0�021 <br /> Building Department <br /> Date Fteceived Phone Contact for Permittin � 0 <br /> Owner's Name �^�U (/� - �. �' Owner Phone Number � � " � -� <br /> Owner's Address ���� �� ���L-� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS S��-� l��h ��'��L� LOT # C �� `V <br /> SUBDIVISION � , PARCEL ID# '-� � ��l � �`?� � ° �SC� � ��1�CX <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDlALT SIG Q Q DEMOLISH <br /> INSTALL 8 REPAIR ��� <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK - --f '� L��S "'� S��t ✓j ( +� ,� <br /> BUILDING SIZE �— SQ FOOTAGE I�`l c�. HEIGHT <br /> �BUILDING $�' rC� VALUATION OF TOTAL CONSTRUCTION <br /> e� <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �(�� `C' � <br /> QGAS � ROOFING Q SPECIALTY � 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 <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 , i� License # <br /> O � ER � — -- � COMPANY YnC1�i'1 � r1 - i - � t-� ' <br /> SIGIVRt�r•-� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � J�O� I � 'r"Y i �j�?j License # � � .�( � <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) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Atlach (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 8 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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over E2500, a Notice of Commencement is required. (A/C upgrades over i7500) <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 />