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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> a <br /> Date Received � ,�� g13 yy� __ D 93'7 <br /> � Phone Contact for Permittin <br /> i�����i� - - rrr�i <br /> Owner's Name fl�h �� t� ��. Owner Pho�e Number ��3� 7�D — c� � 3� <br /> Owner's Address 5 a �� 5�. Ze r1) �( S � Owner Phone Number � <br /> Fee Simple Titleholder Name � Owner Phone Number � � <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS ��� I� S� • L'C I/�l �,�5 1'L J � LOT # aU�� I � d'a <br /> SUBDIVISION �,��.-y cyE-zcPryrrl PARCELID# ��'� - al� - dO�Q' � �O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME O STEEL Q <br /> DESCRIPTION OF WORK e IA fCt C d0lT� S1 Z�G �j�( SI "ZE. <br /> BUILDING SIZE � SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �'u0 . c� O <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> QPLUMBING $ 2 2�] v <br /> l 1 <br /> QMECHANICAL $ VALUATION dF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � c r COMPANY D� D 6Qr� ��O r S <br /> SIGNATURE �{- REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � �/�/7 �,S/)� [. `�a 3 a License# l�U(��aSb avJ <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 /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111111111111111111111 <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 & 1 dumpster; Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attacn (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fortns. 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 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 construction. <br /> . <br /> D�rect�ons: • <br /> Fill out application completely <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (AIC 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 />