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sisaso-oozo City of Zephyrhills Permit Application }� ��`�� j�' Fax-813-780-0021 <br /> Building Department �! <br /> )ate Received � �� Phone Contact for PermitUn � � �.JV( - � � <br /> hvner's Name � S�l� i C.. • 1 C, r � Owner Phone Number r? ��"�'�('J - <br /> ���� �% � , 1 33 y�l s <br /> hvner's Address � i� t.�-��� �- 1 ^ Owner Phone Number <br /> �ee Simple Titleholder Name Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> IOB ADDRESS l �' 1 Fr � LOT # S •� l <br /> 3UBDIVISION , PARCEL ID# - �Q '"' "� � �! <br /> (OBTAINE� FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> B INSTALL e REPAIR �y�� <br /> �ROPOSED USE � SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �'1" ���" T � S 'G �►'l�'' Q� <br /> BUILDING SIZE SQ FOOTAGE �� HEIGHT �� <br /> �BUILDtNG $ - C; „� C.� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � �ROGRE�S ENERGY _Q W.R.E.C. <br /> QPLUMBING $ .�" � " � ' / - � � <br /> � �,��� <br /> OMECHANiCAL $ VALUATION OF MECHANICAL INSTALLATIO � <br /> QGAS [� ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y 1 N FEE CURRE� Y/ N <br /> Address License # �- <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address '� License # <br /> DTH „ COMPANY �� � � � <br /> 51GNA R REGISTERED / N FEE CURRE� N <br /> c <br /> Address L° License # �.. � �. <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy FoRns; 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 8 1 dumpster; Site Work Pennit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of E�ergy 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 all new projects. All commercial requirements must meet compliance <br /> 51GN PERMIT Attach (2) sets of Engineered Plans. <br /> ** SURVEY required for all NEW construcUon. <br /> Directions: <br /> Fill out application compietely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C 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 /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> �eroofs if shingles Sewers Service Upgrades PJC Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />