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s�3-�so-oozo City of Zephyrhills Permit Application���8(;1 Fax-813-780-0021 <br /> Building Department �� <br /> Date Received � Z Q Phone Contact for Permitting ��� /� -- �(O �p � <br /> . Y <br /> Owner's Name e> �� Q�C a Owner Phone Number <br /> Owner's Address ? �� �J� , <br /> c� � �J h (�S Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS JS�J � �`3�h J /` LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � ADD/ALT Q SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0'� SFR 0 COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �� U �(�' ; ti1 �. <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> 0 BUILDING $ 2 Q�Q '� VALUATION OF TOTAL CONSTRUCTION <br /> J <br /> 0 ELECTRICAL �$ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> � PLUMBING $ � '� <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT�ON 9,� � <br /> � 2� <br /> � GAS � ROOFING � SPECIALTY � OTHER � � . <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES ONO f��� � <br /> ��t <br /> BUILDER , �� ` COMPANY G S L�. � C_ . <br /> SIGNATURE REGISTERED Y/ N FEE CUR ENT 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 /> 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&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 /> Directians: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,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(Plot/Survey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />