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si�-�so-oo2o City of Zephyrhills Permit Appiication Fax-813-780.0021 <br /> Building Department <br /> Date Received � "— � Phone Contact for Pertnittin � � � I - c � � `p <br /> Owners Name � i( TI � L Owner Phone Number <br /> 1 � O � <br /> Owner"s Address 3 ��D$ � Z (r In � I J �0 Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS LOT # �� <br /> SUBDIVISION �-� � CQ� PARCEL ID# 3y - as-� � ` -(�( p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NSTALLSTR 8 REPAIR � SIGN � Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM Q OTHER �( � � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK �r- S� n �"�j� �y�� �-� ; ,� z c l � ��c�'Z�S <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ � 2Q �_ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> � <br /> Q PLUMBING $ / � n � � � � � � � � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION __ ._\ <br /> ��..,..�-, .. <br /> QGAS � ROOFtNG Q SPEGIAITY � OTHER � �1 �j� <br /> / / <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES O <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEF CuRFtEn Y/ N <br /> Address License # �— <br /> ELECTRICIAN � � � �, I ` � COMPAAIY G t� �� L� <br /> SIGNATURE �� `�J \ REGISTERED Y! N FEE CURRE� Y/ N <br /> Address � , �' `�' � �N �- � 2� D T' o. License # 'EL.( �� Ll��� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— � <br /> ������� <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) working days aRer submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sankary Facilities & 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-0-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 /> Sartitary Facilities 8 1 dumpster. SRe Work Pertnit for all new projects. Atl commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "*"PROPERTY SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over s2500, a Notice of Commencemer�t 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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter 'rf on public roadways..needs ROW <br />