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a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-7fiU-UU11 <br /> Building Department <br /> Date Received °,��r' f� Phone Contact for Permitting -' <br /> Owner's Name V�1f�+ � � Owner Phone Number <br /> Owner Phone Number <br /> Owner's Address <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS �03�{� �.. � �.+ • � +t. LOT # <br /> SUBDIVISION �— PARCEL ID# � � ' ?'` ��� � � � � � y�� - <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL Q OTHER <br /> �ESCRIPTION OF WORK C�+K Q. S�C J�w► /'du� u OVe ti G 7'� 3 <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ AMP SERVICE �(�v 6R�SS ENERGY Q W.R.E.C. <br /> � C� v `i •� r7 1�— <br /> �,, L' f <br /> Q PLUMBING ($ — ff � ��( � v � �C� <br /> � '// U , <br /> � MECHANICAL � � VALUATION OF ECH LATION <br /> � GAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y! N <br /> Address License # <br /> � � . <br /> ELEGTRICIA COMPANY tr� e 1.;, '�l�r��c,.�.. �'• <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/ N <br /> Address � tS 6�— License # c: c�3ac��3 s� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y I N <br /> Address Ucense # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I 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 constructlon, <br /> Minimum ten (10) working days afler submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge 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 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 /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'*PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fili out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC upgrades over 55000) <br /> " Agent (for the contractor) or Power of Attorney (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 /> �riveways-Not over Counter if on public roadways..needs ROW <br />