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s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> t <br /> )ate Received �` � � �� l / � � '� `� _ �j � <br /> Phone Contact for PermitUn <br /> hvner's Name Ci � r 1� � � i �''►'l�� Owner Phone Number (`1 —� ` C��'� <br /> , <br /> � � )wner's Address ��� L' ( S .(,� �� Owner Phone Number <br /> 'ee Simple Titleholder Name ~ �-��Gll �.�V l✓[;�� ' �,% �Q Owner Phone Number � � <br /> °ee Simple Titleholder Addrass <br /> IOB ADDRESS C, L �� ` �� LOT # � <br /> iUBDIVISION � PARCEL 10# \ ��71 � � � � �-� ��� `� - S�i <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> NORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR 1 � r <br /> �ROPOSED USE � SFR Q COMM Q OTHER <br /> fYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��' �jy � � r 1 l L P <br /> BUILDING SIZE SQ FOOTAGE ��( � r HEIGHT �`� r ��',�/ �✓` ` <br /> �--1�-- � F-- <br /> BUILDING $��—�� VALUATION OF TOTAL CONSTRUCTION <br /> I 11. � <br /> �'C" <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �t <br /> QGAS � ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SfGNATURE 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/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # r <br /> DTHER � � COMPANY �\ ✓� �- , <br /> 51GNATU REGISTERED / N FEE CURRE� / N <br /> Address � �- � �- � 33 �(' License # �- � ��•� ��� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns; R-O-W Pennit for new construction, <br /> Minimum ten (10) working days afte� 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) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new constructlon. <br /> Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon 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 /> '""*PROPERTY SURVEY required for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over 52500, 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 /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences (Plof/SurveyfFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />