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ei3aso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �/ � � " �'��� Phone Contact for Permittin -- <br /> `/ <br /> Owner's Name ( 5�=��`- ��� � Owner Phone Number ���� 3" � >>ci-T <br /> Owner's Address ��l /�� `� ��l��� �� Owner Phone Number C <br /> Fee Simple Titleholder Name ����`�� L��\���� Owner Phone Number C <br /> Fee Simple Titleholder Address L� �� � � � � 1 - z �-- �� � , L � <' �_ <br /> JOB ADDRESS "t -1 ��q ` �n J `����� LOT# �� <br /> SUBDIVISION �OV12��� 'F i(�S'C' �\7 . PARCEL ID# �4 ��-�'-�-� "O C��(�-'�'R� c� - Q�'�� <br /> (OBTAINED FROM PROPERTY 1fAX NOTICE) <br />� WORK PROP05ED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �- <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ��U�`�V� �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> �BUILDING $ � ����� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> ��1 ,L'l <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �G,,.,..,r <br /> � J ,. <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � � <br /> � 1� <br /> BUII_DER /�/ COi1AP,4hY .. �•�� f�✓ /'�sc � <br /> SIGNATURE w REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# C � <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# C � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working�lays after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lite 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 wl 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 constructio�. <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 upg�ades over 57500) <br /> " Age�t(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 shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />