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si3,so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitting , �� � <br /> Owner's Name `,L/ � Owner Phone Number �' 7 �' V �J <br /> Owner's Address C ' � <br /> �t_ t • #'� �i Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �S�I✓7 �j,(_,�,I�? ,(�i��j�'l , f2. ����Uy (� ] LOT# � <br /> SUBDIVISION �..�,(tipd {���,1t k�;` � -� PARCEL ID# o�f•p��p �p�1-�(�p�� - C �'Y�s •�Q� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED New coNSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR � ��,,.,.( <br /> �l�� <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q , <br /> DESCRIPTION OF WORK � C� E' I�Q �S C l? <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> Iz� 3� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��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# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE{� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# C <br /> OTHER COMPANY c <br /> , <br /> SIGNATURE REGISTERED Y/ N FEE C EA Y/N <br /> Address � . � License# ��� _� ��~��`�� <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,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 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 Ptans. <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�2500,a Notice of Commencement is required. (A/C upgredes over 37500) <br /> '* Agent(for the contractor)or Power of Attomey(for the awner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Setvice Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />