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s�a-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Dat� Received G p � <br /> '� Phone Contact for Permittln O�iJ �- � <br /> Owner's Name ,Lll.� P./� Cr� �1 Owner Phone Number <br /> Owner's Address 3�� OZ- �2(//L� vCL// �/�� . Ow�er Phone Number � <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �� 4f �-�QG� LOT# �J <br /> SUBDIVISION /,( c1Y'� �/�-1� PARCEL ID# a y ` �'"�'� ��V ' Q���� — �dJ � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK � � � �r <br /> � , <br /> BUILDING SI2E �AZ- X y� � SQ FOOTAGE '7 7� HEIGHT <br /> BUILDING $ � �--�� � VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q PLUMBING � PAS�� pERMiT SERVICE <br /> (813) 7 88-5314 <br /> � MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �AX 1-$�.824_7� <br /> �� Nvc <br /> Q GAS Q ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO � 2 �' �, <br /> BUILDER ���� `��! � ,� , / ,` /O (� a COMPANY �G�/I � J�, I�J � -�-�`C • <br /> SIGNATURE w `" x ' W f v REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address �//S /'f' /�-� /` License # <br /> ELECTRtC1AN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y! N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRENT Y/ N <br /> Address License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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 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) 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 Pfans, 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 required for all NEW construction. <br /> Directions: <br /> Fill 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 E5000) <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 Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />