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s�saso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �, / phone Contact for Permittin - <br /> Owner's Name !` �. � � Owner Phone Number <br /> Owner's Address Z-Z- �7EP//�"�-f �Q"Ti�- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �--� �Sl�I���NS r/ T/U" LOT # � <br /> SUBDIVISION S��J�n-' O � , PARCEL ID# � 3 ' �p -' �1 � � ��tO —O DOBD -- t� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCT�ON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK 1[-(!D�l�✓!r `�� G✓�L1� s/AI�t,' •- ` �/�/ <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT <br /> QBUILDING $ "'� VALUATION OF TOTAL CONSTRUCTION <br /> `�9D . <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> QPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q� ROOFING Q SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � `�.. COMPANY ��� ��'`�G <br /> SIGNATURE `-�� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ���� 3 4..� �/Q"�� C l� r� License # Q Q Z P� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE RE�ISTeReo 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 I 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) worlcing days after submittai date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Slte Wo►1c Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) working days aRer submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for atl new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> "'"'PROPERTY SURVEY required for ali NEW construcUon. <br /> �Trr������r���i��i���. <br /> Directions. " `'` � � � � � <br /> Fill out application completely. <br /> Owne� 8 Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> ** Agent (for the contractor) or Power of Attomey (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 lf on public roadways..needs ROW <br />