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sis-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received - - phone Contact for P"ermittin �j�O _ �i Z �/ <br /> Owner's Name �- ��'�-�� <br /> Owner Phone Number <br /> Owner's Address � '� y O � �c7�� 2!'ji �5 Owner Phone Number C � <br /> Fee Simple Titleholder Name Owner Phone Number C � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J k7�J �j' �f G � - ` LOT# �� <br /> SUBDIVISION PARCEL ID# �l'��b —o��"�'�!�",/,r�Q'd-" Q�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER " , <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL <br /> DESCRIPTION OF WORK �� <br /> BUILDING SIZE ?S �C Z(D SQ FOOTAGE `�6� HEIGHT GC� <br /> �BUILDING $ <br /> �jr"Ca0, °-= VALUATION OF TOTAL CONSTRUCTION • <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENER.GY Q W.R.E.C. <br /> QPLUMBING $ `-�� ��� <br /> / ( <br /> c� � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY C� OTH ------�'-----_, 1 � �v� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE A __._. ._.p�Q_.._ <br /> --�� <br /> \ <br /> BUILDER ��y�,� J�' COMPAN - - ' --�_ " - <br /> SIGNATURE �ti/�L�C.. REGISTEREDL----" y ' '�'y ` FEE CURRE� ' Y/AI <br /> Address ' (��!"� 1 •—� 7 <br /> License# �d <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER �,,.,,�.---� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL �_ COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# C <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 aft2r submittal date. Required onsite,Construc6on Plans,Stormwater Plans vv!Silt Fen�e 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 /> 1 1 1�'n 1 1 1 11 1 1 1 rl r�I 1 <br /> I Iafi�l�lii.LL11JiLL1 LIJ <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�7500) <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 if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />