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s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building DepaRment <br /> Date Received <br /> Phone ConWct for Permittin <br /> � rTrrT — <br /> Owner's Name Gre Or Robert Owner Phone Number <br /> OwnersAddress 5617 13th Street OwnerPhoneNumber �� <br /> Fee Simple Titleholder Name � Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> �J <br /> JOBADDRESS 5617 13th Street LOT# � 9&10 <br /> SUBDIVISION PARCELID# 1 1 -26-21 -1 0500-0090� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH <br /> INSTAIL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL Q �—� <br /> DESCRIP710NOFWORK Complete Demolition � <br /> �J <br /> BUILDING SIZE SQ FOOTAGE G S O HEIGHT �� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.0 <br /> �PLUMBING $ � /'7� <br /> 1 � � �t.t <br /> � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUI LDER COM PANY <br /> SIGNATURE REGISTERED Y! N FEECURREN Y/N <br /> Address <br /> License# � <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N �� <br /> Address � <br /> License# <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N �� <br /> Address License# � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 N <br /> Address -- � <br /> License# <br /> OTHER COMPANY CrOSS Environmental Ser 1C2S <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address P.�. BOX 2 9 License# CGC 0 6 2 9 8� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdrvisions/large pro�ects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lrfe 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 Faalities R 1 dumpster Site Work Permit for all new projects.All commeraal 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&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <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(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />