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s1s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> G.de Recleived Phone Contact for Permlttln a7 'd 7 -�9 �� <br /> Owner's Name �v �'�1 ��YI 14u.� Owner Phone Number l3 -- �� 3-6 �� <br /> Owner's Address ((� � � ��, �� �f-��S � � Owner Phone Number � <br /> Fee Simple Titleholder Name �� Owner Phone Number <br /> Fee Simple Titleholder Address N/t' <br /> JOB ADDRESS (0 ���I S� �Ue� CJ�C S��� LOT # C� <br /> SUBDIVISION � llti� � S PARCEL ID# 6 3 ��` ZI - d I Z/Q - bOCY�O �- O!O O <br /> � ��.f - (OBTAINED FROIYI PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � U�� � � i�-� �-e-�►n I� G� y�m I� Seu.� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � <br /> ` ( � I � <br /> �MECHANICAL $ � 3 � VALUATION OF MECHANICAL INSTALLATION � / � <br /> � \Y <br /> [�GAS Q ROOFING Q SPECIALTY 0 OTHER 1 ( <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 <br /> License # <br /> MECHANICAL c COMPANY e�r�'1 �� r}- ��� �l ��C <br /> SIGNATURE �fi I s REGISTERED Y N FEE CURRE� / <br /> Address � IV ��Ue �' ,�� � "j,� /(� License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address Ucense # <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 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 construcUon. <br /> Minimum ten (10) wo�king 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 commerclal requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> '"'*PROPERTY SURVEY requlred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appllcation, notarized <br /> If over $2500, a Notice of Commencement (s required. (A/C upgrades over;7500) <br /> "' Agent (for the contractor) or Power of Attomey (for the owner) would be someone wlth notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) °� <br /> Reroofs if shingtes Sewers Service Upgrades A/C Fences (Plof/Survey/Fbotage) <br /> Driveways-Not over Counter if on public roadways..needs ROW �, <br /> � <br /> -..,,. r.- . w,...�. � ..,�,.-��.�,r.�., .«�w . <br />