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s1s-�ao-oozo City of Zephyrhills Permit Application �/ 2�1 Fax-813-780-0021 <br /> y � Building Department � <br /> Date Received <br /> Phone Contact for Permlttln _ <br /> Owner's Name �C s� Owner Phone Number �/.l' '�����o� <br /> Owner's Address 3 ��1�r v/c!-'l�U�iL CJ�/� �"s��•� Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C_ <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �--��- LOT # �� <br /> SUBDIVISION � ¢�� , PARCEL ID# �a °?C� �`d��/D � .:?OD-rC7d �lO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR 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 � <br /> DESCRIPTION OF WORK /A�G//�'�-�"�G/y2���� �lC� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> [�BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ <br /> �IECHANICAL $3�y VALUATION OF MECHANICAL INSTALLATION <br /> / <br /> OGAS Q 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 # C <br /> MECHANICAL �—G� COMPANY �'v`�S �� �2���� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address l�/ S, h�U .-�G�,�1�p y//�31-Z�i License# ���/V�-� l � C�� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # C —� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buliding Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) woricing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Pennit 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 Facllities 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must nneet compliance <br /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> )irections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If ove�;2500, a Notice of Commencement is required. (A/C upgrades ove�;7500) <br /> ` Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (Front of Application Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />