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a,s-�SO-oozra City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ��, -� a-(� � phone Contact for Permittin D�� O/�` tD / <br /> Owner's Name �f � � � � � L/' -�2�� P/ Owner Phone Number �l ��� �� /�d <br /> Owner's Address � Owner Phone Number —� <br /> Fee Simple Tftleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS jg � � ( �� � � LOT # � <br /> SUBDIVISION , PARCEL ID# I I - Z�L"' Z — � -' ' � ( " <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �ST��-- �/L I �T� �� (�l n� 7 <br /> BUILDING SIZE � S� ' SQ FOOTAGE � HEIGHT v <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ / <br /> MECHANICAL $ (5� VALUATION OF MECHANICAL INSTALLATION �( v��� <br /> � �• 1 <br /> �GAS � ROOFING Q SPECIALTY 0 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 # <br /> MECHANICAL COMPANY � �U'1 � � L � <br /> SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/ N <br /> Add�ess O� p� e � ��S � ��y7�fZ License# � YJ • <br /> OTHER ' COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> RESIDENTIAL Attach (2) Ploi 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 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 construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stortnwater 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 Altach (2) sets of Engineered Plans. <br /> "*'PROPERTY SURVEY required for all NEW construction. <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;7500) <br /> "* Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTiNG (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />