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s13-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved �l� �� _ ,y/� <br /> Phone Contact for Permittin � <br /> Owner's Name /'� �6�. , � l�5e.. Owner Phone Number �'� �7 6 /'n--�7f 6 <br /> Owner's Address ��� (��.��. . Owner Phone Number ��.3 y6/' /i � 5' o <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Addreas <br /> JOB ADDRESS �/�� � ,6� r ,' JS � 5 LOT# �� <br /> SUBDIVISION PARCEL ID# j� a-a�-ai-oo�,�-ao yaa-DD/j� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK ✓ 1 a`�'<— I�e I�Y �'p p� �' <br /> BUILDING SIZE �— � gq FOOTAGE�� HEIGHT <br /> �BUILDING $ _ <br /> � �� VALU�TJQI`�t.QF TQT��,�ONSTRUCTION� <br /> QELECTRICAL $ AMP SERViCE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ' ` �/ <br /> l '�` <br /> _� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � h'IE'�(•�rI,'�_ <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � —1 <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 /> 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 Forms;R-0-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facil(ties 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 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&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is requlred. (A/C upgrades over s7500) <br /> `" Agent(for the contractor)or P.ower of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of ApplicaHon 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 />