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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-C1021 <br /> Building Department <br /> Da�Received Phone Contact for Permittin - <br /> Owner's Name � ��t'�� � ��l�V\ti Owner Phone Number rJ � �l/� ��� <br /> y 1 • � � `�' �G 3�`l - � <br /> Owner's Address �7�r Z��� ���-�- � Owner Phone Number <br /> Fee 3imple Titleholder Name � 5�i�� L- ��`�� Owner Phone Number <br /> Fee Simple Titleholder Address 'y d�� � l � J� 2 �� C�y �Ct��-S � �-- � �� <br /> JOB ADDRESS � � ° l C� � � ZF P'�I� 1� [ 1-LS L� LOT# � <br /> SUBDIVISION %�5 C-��5 O , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADDlALT � SIGN Q Q DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> .- r <br /> DESCRIPTION OF WORK ��'�. C E- : "'� ���p���4 Lt��l� � �1l�{� 'P�/�- .�` N-��� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ � �/t1 +p0 VALUATION OF TOTAL CONSTRUCTION <br /> V � <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ i � ���l <br /> OMECHANICAL S VALUATION OF MECHANICAL INSTALLATION <br /> � / <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY �`'V \��i� <br /> SIGNATURE 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# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> OTNER 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 Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)wo�king days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence Installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pem►it 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. Requtred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&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 8�Contractor sign�ack of appllcation,notarized <br /> If over 52500,a Notice of Commencement Is requlred. (A/C upgrades over 57500) <br /> *' Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owf�er 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 />