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sis-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received l`( � Phone Contact for Permlttin �� J��_ ��1 <br /> Owner's Name F�Q�( � � 1 Owner Phone Number •`� p <br /> Owner's Address �$� ` � � � °C �" , mZ <br /> y-SO °� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � JL7 c��-f LOT # � <br /> SUBDIVISION , PARCEL ID# �) •�' ��) �• <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e N TALLSTR 8 REPAIR �j �IG� � Q DEMOLISH <br /> �< <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK d� . h� -QS � �S � � <br /> i/*� �1='l � n <br /> BUILDING SIZE SQ FOOTAGE { V HEIGHT � <br /> , <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � � <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ / <br /> � ✓ <br /> ,�I� �- �/ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� <br /> �GAS � ROOFING Q SPECIALTY Q OTHER � �l.F <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��� <br /> ,�. <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � License # � <br /> \ <br /> O7HER �, COMPANY � � ��' � . <br /> SIGNATURE REGISTERED Y/ N FEE CURR Y! N <br /> Address R ��Q Y � c� � License # � ' � <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 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, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "«'*PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fiil out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Gommencemeni Is requlred. (A/C upgrades over 57500) <br /> ** Agent (for the contractor) or Power of Attomey (for the own�r) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicadon 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 />