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s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date'12eceived <br /> Phone Contact for Permittin _ <br /> Owner's Name )� (/ / r vf$e/1 O Owner Phone Number <br /> Owner's Address ZX ' 7 Y4,ln^ !� Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S 3d � � T Y�i,vv� �j LOT# � <br /> SUBDIVISION . PARCEL ID# Z �Z� �� Z��UL ,�jU'(�U (�U — �j0� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM C� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME C� STEEL Q <br /> DESCRIPTION OF WORK L�- 1�0 S � <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT �� <br /> QBUILDING $ Cfv(� VALUATION OF TOTAL CONSTRUCTION <br /> r <br /> QELECTRICAL �— AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �!�Cj D / <br /> � ( �l <br /> QGAS ROOFING Q SPECIALTY �] OTHER <br /> FINISHED FLOOR ELEVATION 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/N <br /> Address Lfcense# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER ,'�`����� /� _COMPANY �� '�2/� ��� <br /> SIGNATURE ��� l� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �X � �a � J�/�� /V �\ License# � C Cc, �,� 7 `�� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Requ(red onslte,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 Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submlttal 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 requlred for all NEW constructlon. <br /> Directions: <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 E7500) <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 ApplicaGon 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 />