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s�s-�so-oozo City of Zephyrhills Permit Application � Fax-813-780-0021 <br /> Building Department �J- ��(J� <br /> �� <br /> Date Received — ,��f� Phone Contact for Permitting -- <br /> Owner's Name Owner Phone Number <br /> Owner's Address Owner Phone Number <br /> Fee Simpl Tit�eholder Name '0��� � Owner Phone Number ��' ��—��"�� <br /> Fee Sim le T�eholder Address \� �V�'��� � w � <br /> JOB ADDR <br /> E S. �MC�--� ' LOT# C� <br /> SUBDIVISION '�-'-�,��-s� �� � PARCEL ID# <br /> �. � � ''`� 2�_ i6-zl-vd ,00 zi3a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN Q MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK � ��-• �`� v�C �� � �"L �'�v�' <br /> BUILDING SIZE �, ` S4 FOOTAGE �� HEIGHT \�\ <br /> BUILDING $ a� VALUATION OF TOTAL CONSTRUCTION <br /> "L �Da � <br /> � ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � PLUMBING $ <br /> � MECHANICAL �$ � VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> � GAS 0 ROOFING 0 SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES ONO <br /> c <br /> BUILDER COMPANY ;�� W�"�� <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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> StGNATURE 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&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&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 a�l NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of appiication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C 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(PIoUSunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />