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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� � Phone Contact for Permitting 1 ��-� V ��- —�� 1 � <br /> ,p,c1 / ) ` � 5 r /" �V 1 Q 3 .... � ` �' - <br /> Owr�er's Nam'e � 1 - l`�� 7 ��^ L L! �� � v v� Owner Phone Number <br /> Owner's Address "�` t �` V C ��� ��� s� ��t �fl VT� �`�'4/�wner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �'t` 1✓ C"t�' 1 1 �`�' � v T t '�- ��� v` '�I ���� LOT # �� <br /> SUBDIVISION W % /� l � l�� /�, I?'.� . PARCEL ID# r �'i" � �"� �—� I•— �`!�'`�" � � �.z �� — ���1'V <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CoNSTR 8 ADD/ALT 0 SIGN C] [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER ' <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK �l � (� �+'�' � � � . { • ��' �N v �`" ' � � ; � �` � � <br /> BUILDING SIZE � SQ FOOTAGE � r HEIGHT �'fJ / <br /> OBUILDING ��? �` VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> �GAS d ROOFING Q SPECIALTY �J OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/ N <br /> Address ' License # � � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � � License # � � <br /> SI� E � ' ? �' �/ � COMPANY �,LL �l!/C ��I G'V �/9 ��C,\ �'��liO � ��� .. . <br /> RE ��'' " � � REGISTERE� Y/ N FEE CURRE� Y/ N <br /> Address (�v'.S � 14 G( �� �' �i %G �' �b'��'e� Z`f '�I J C,LC/a R t� f1 � # C �C ��� 74 � � <br /> t � �S 3 ? �'� <br /> RESIDENTIAL Attach (2) Piot Plans; (2) sets of Building Pians; (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 fo� 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 onsite, Construction Plans, Stormwater Plans w/ Silk 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 requi�ed for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contraetor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over $7500) <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 if shingles Sewers Service Upgrades A!C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />