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sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv�d + Phone Contact for Permlttln _ V I� <br /> Owners Name LL��'1P '� � Owner Phone Number �I " � S- � <br /> Owner's Address "`" �(�"fi �(1 �L,1/� Z Y�`Uwn� Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number �— � <br /> Fee Simple Titleholder Addrass <br /> JOB ADDRESS ; LOT # C� <br /> SUBDIVISION "�' � , PARCEL ID# O ' o� I(�� . � � C� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q �] DEMOLISH <br /> INSTALL REPAIR ('.L_(�-,�.£ <br /> �� (� <br /> PROPOSED USE � SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK t� � � � �! � � G� �� i � <br /> BUILDING SIZE — 1 SQ FOOTAGE �� HEIGHT <br /> QBUILDING $ <br /> l� �.� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS � ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED 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 # r <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRFJ� Y/ N <br /> Address License # r <br /> r <br /> OTHER � � �� ' COMPANY n'� �[�1�'l .–�-( 1� <br /> SIGNATURE � REGISTERED Y/ N FEE C RE� Y/ N <br /> Address y� �f Y! Ij(.� S�� License # rC�.�.. ���� `� <br /> RESIDENTIAL Attach (2) Piot 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 wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Woric Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Bullding 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 submlttal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles 8� 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Pians. <br /> '"*"PROPERTY SURVEY required for all NEW constructlon. <br /> Di�ectlons: <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 57300) <br /> '* Agent (for the conVactor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaBon 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 />