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s�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name � � 'y1 f � Owner Phone Number � �Z'—u <br /> .E-.,�fE- . <br /> Owner's Address �� Owner Phone Number <br /> Fee Simple Titleholder Name Owr�er Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �C�� /V l e� � fj(�i . LOT# �� <br /> SUBDIVISION �/�/tef�Q� �p l{2 1 P PARCEL ID# <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER ! <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK C� � //� � {�'l �,e�( �U C/� �� �'�p <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ /�O � � <br /> C/ ��' <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � l� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Lfcense# � <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER /� COMPANY S �(,� IlY1 J ,[/ <br /> SIGNATURE � -l. REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� L �t�.U p �� l S r�.. Llcense# �� —�T�17 <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y l N <br /> Address License# <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fo►ms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facifltles&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Ptans 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 all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over;7500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />