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$is-�SO-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name R(.�. � L�.�. Ow�er Phone Number �l3-32�s- �r 3 <br /> Owner's Address �C� �C�x j" i�t,� � � Owner Phone Number C� ��' `f �" p�� l <br /> Fee Simple Titleholder Name Owner Phone Number U� 3�" �7.�"J' ��23 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,� �. � `� { �-[ �� �5 LOT # � <br /> SUBDIVISION __ PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRaPOSED NEW CONSTR ADD/ALT �� SIGN Q � DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME C� STEEL O r' <br /> DESCRIPTION OF WORK rn �q/,� / <br /> BUILDING SIZE SQ FOOTAGE C7 HEIGHT <br /> C�6CJILDING $ <br /> GY'D VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY <br /> Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION `�� `� / <br /> OGAS 0 ROOFING [� SPECIALTY <br /> C� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY \ �f <br /> SIGNATURE +�-�� �- I v <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � <br /> License # <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � � <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> OTHER COMPANY <br /> SIGNATURE � <br /> REGISTERED Y/ N FEE CURREA Y/ N <br /> Address <br /> 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 instalied, <br /> Sanitary Facilities 8 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 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. (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 (Plot/SurveylFootage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />