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s�a-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received � <br /> 3 � Phone Contact for Permittin _ <br /> Owner's Name ��e()�. �- q ,y�l, Owner Phone Number -3I-3— l D S� <br /> Owner's Address � bJ�j $ � �S`i" Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS SO D� '� S 2 �^ ��,� � �� .3�5�!-IG LOT# �� <br /> SUBDIV1310N PARCEL ID� � �--��j`�a, �00 f�����p�U-QI�Q <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT �� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �' ��� �G✓1 �U� �QN Ce <br /> BUILDING SIZE �FOOTAGE ��S I HEIGHT �' <br /> OBUILDING 3 �j I � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTR�CAL $ AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> s� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION , r/��f � ^ <br /> , T`°� <br /> � <br /> [�]GAS Q ROOFING Q SPECIALTY � OTHER `"'—'�,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER ,� COMPANY C) � ��e' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas --5 � a f'A �►'U <br /> License# ��7� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 CURREA Y!N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Ucense# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new consUuction, <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadllUes&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes 8 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 constructlon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Owner 8 Contractor sign back of applicadon,notarized <br /> If over i2500,a Notice oi Commencement Is requlred. (AIC upgrades over 57500) <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 Appiica�o�Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubNc roadways..needs ROW <br />