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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � .Z �( � <br /> Phone Contact for Permittln ! - Q 2rj � <br /> Owner's Name v��(lts Owner Phone Number °? .3 ' l/�7d <br /> Owner's Address ' 1 f g�+ it� J 3S�Owner Phone Number f -/- paZ-s � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �c G " s ' LOT # � <br /> SUBDIVISION , PARCEL ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e D� � SIGN Q Q DEMOLISH <br /> INSTALL EPA <br /> PROPOSED USE Q SFR Q COMM � O HER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL <br /> DESCRIPTION OF WORK �' ,' `- � � S <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT 3a' <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �� 3 <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> D 2 2� <br /> �PLUMBING $ ��� <br /> r 2 Z � <br /> QMECHANICAL $ VALUATION OF MECHANICAL tNSTALLATION � 1 <br /> � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � � ' � COMPANY � ylG�� <br /> SIGNATURE �`� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 7 License # <br /> ELECTRICIAN �" COMPANY U��(AS' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ;3��! µ,� ,,,�INS F License# <br /> PLUMBER /�� � � OMPANY OI�C'�S�CP LO!!S <br /> SIGNATURE !'i � REGISTERED Y/ N FEE CURRE� Y! N <br /> Address 3 �1 y� ' 1 License # <br /> � <br /> MECHANICAL � r „b � �COMPANY � <br /> SIGNATURE \l� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ;37�(4 �1fL � FL 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 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 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 ansite, 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 Plans. <br /> '""PROPERTY SURVEY required for all NEW construction. <br /> Dlrections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC 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 (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />