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sisaao-oo2o City of Zephyrhills Permit Application �(�2� �" Fax-813-780-0021 <br /> Building Department � <br /> Date Received Phone Contact for Permittln — <br /> Owner's Name `� ���"'^ C �2 Z.� Owner Phone Number �5 � 3"� a�' Z��`� <br /> �� Z� ptiy�1.���s <br /> OwnersAddress ��1��� �� oy+�c�,� Z 37i`fz OwnerPhoneNumber <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOBADDRESS �1 I �tY V�c�;,�v�c� L-' � j� LOT# � <br /> SUBDIVISION �e ���'--+� � � , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICEj <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK r�' �'� �.v �-� �cv�c� .�� � <br /> BUILDING SIZE � SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ 70 o a�; ' VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER C COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �l�?�J�' W����-JO°�l �%� Z`��`��3��y`tZ� 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 /> 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 Forms; R-O-W Permit fo� new construction, <br /> Minimum ten (10) working days after suhmittal date. Required onsite, Constructlon 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 Bullding 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, Construcdon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. Atl commerdal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets af Engineered Pians. <br /> '"**PROPERTY SURVEY required for all NEW construcUon. <br /> ����������������.� <br /> Duections. '' L111 � ��-�-� � � <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice oE Commenc�ment is requfred. (A/C upgrades over S7S00) <br /> *' Agent (for the contractor) or Power of Attomey (for the owner) would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMl7TING (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 />