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°°- °�-���� o� ,� c;ity ot zephyrhills Permit Application Fax-813-780-0021 <br /> /r ,.�l+.�'�'�� "� Building Department <br /> �-- <br /> Date Received _ ,� /� /� ��� <br /> Phone Contact for Permittin b <br /> Owner's Name ' q � ,� p Owner Phone Number <br /> Owner's Address � L l. /1/' Owner Phone Number <br /> Fee 5imple Titleholder Name C Owner Phone Number <br /> Fee Simple Titleholder Address C_ <br /> JOB ADDRESS � r� � �� LOT # I( <br /> SUBDIVISION W I�i 6�' PARCEL ID# �-Z�-2 - 0/� 0- D000 �� 0// D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN 0 � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM �� OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK 1.+in�„� �.� r � 1 � 7i � / j -'� <br /> BUILDING 51ZE � SQ FOOTAGEC] HEIGHT <br /> �BUILDING $ ZG � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL �� AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING �� � <br /> MECHANICAL � � v" � <br /> 0 �� VALUATION OF MECHANICAL INSTALLATION -�t <br /> OGAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �—� FLOOD ZONE AREA �YES NO <br /> BUILDER � COMPANY �� �q�'� W`j I o� T A � <br /> SIGNATURE REGISTERED Y N FEE CURRE� / nJ <br /> Address 0 �i�lljn�•�;/ � - License# .S�G �SQ 9 <br /> � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/ N <br /> Address , <br /> 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 /> Add�ess License # —� <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buiiding Plans; (1) set of Energy Forms; R-O-W Pe�mit 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) workirn� days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster Site Work Permit for ail new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> ""'PROPERTY SURVEI( required For all NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner & Contractor sign back of applic�ation, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over;7500) <br /> " Agent (for the contractor) or Power of Altomey (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 Servic.e Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public: roadways..needs ROW <br />