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sis-�ao-oozo City of Zephyrhills Permit Application Fax-213-780-0021 <br /> Building Department <br /> Date Received � Phone Contact for Permitting O 0 3 2 y � _ 3 S 00 <br /> ` 1 1 1 1 1 1 1 � 1 1 1 i 1 <br /> ,r / ` (j�3,. (/ �/`` <br /> Owner's Name O/% Q t /�GQ/ �/�n�� Owner Phone Number O �p�" 7 T 0 <br /> Owner's Address � 7 ////9r(�� � �l� Owner Phone Number � I <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � O �J /�!f���� � A�'� � r- 33S LOT# � <br /> SUBDIVISION C� � ��'� PARCELID# ��'�Zb"ZI' C�OtO•Q O- OO`�'� <br /> (OBTAINED FROM PROPER7Y TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR B ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM Q OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPl10NOFWORK ��"° v0�� �3�r lQ� A/arrr• <br /> BUILDING SIZE SQ FOOTAGE Z' �6 HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ � /Z�� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �OTHER �p„d YC�/��y�- �CII�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# �� <br /> M ECHANICAL COM PANY <br /> SIGNATURE REGISTERED Y 1 N FEE CURRE� Y/N <br /> Address License# �� <br /> OTHER F COMPANY S 77Q .�C'yI(/'d rq�'�T �l�u rl T �{JC%°y S t��IC� <br /> SIGNATURE REGISTERED N FEE CURRE�'� Y/N <br /> Address '�! i1/I l�c •� t�3.� y License# � ������ <br /> 1111111111111111111 11111111 11111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construdion, <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 subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a LNe Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projeds.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 52500,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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />