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si3-�so-oo2a City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received . �^ <br /> �, �d�J � Phone Contact for Permitting � �Q -- �Q� �j <br /> Owner's Name C� �1 Ct G 1 v1 Owner Phone Number �� J'" 1 � �� � <br /> Owner's Address � � � � �1 � Owner Phone Number ��j�� " ( ��" 't'���� <br /> Fee Simple Titleholder Name C%'�"✓ � Owner Phone Numbe� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ( e � �I r�') i I� S 2 j ���Z- LOT # � <br /> SUBDIVISION PARCEL ID# 1 � � �O � � � � / C� � � / �w � �V <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR 0 COMM Q OTHER <br /> TYPE OF CONSTRUCTI�N Q BLOCK � FRAME 0 STEEL Q OTHER <br /> DESCRIPTION OF WORK � � �`L 1 n� Z � � � fT r <br /> BUILDING SIZE C SQ FOOTAGE L�� HEIGHT ���(N V t"CA.� ' <br /> � BUILDING I$ � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> 0 ELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> � PLUMBING $ <br /> MECHANICAL $ p VALUATION OF MECHANICAL INSTALLATION ������ <br /> � ����. �I <br /> � GAS 0 ROOFING � SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y! N <br /> Address License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # —� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � —� <br /> MECHANICAL COMPANY ��Gf/) � � - <br /> SIGNATURE REGiSTERED Y/ N FEE CURRENT Y! N <br /> Address � � e � � ��j�'j�(2 . License # ��� j�l � � ��Q � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y! N <br /> Address 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 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, 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 /> 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 $5000) <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 Sewers Service Upgrades A/C Fences (PlobSurvey/Footage) <br /> ❑riveways-Not over Counter if on public roadways..needs ROW <br />