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s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building DepaAment <br /> Date Received Phone Contact for Pertnittin <br /> -T�r_R.r7 " <br /> Owners Name 1 � Owner Phone Number <br /> Owners Address 53 '— Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � LOT# � <br /> SUBDIVISION �(��)(�� �a PARCEL IDq � � %ZI ^d�I V �O" �I� <br /> T J (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CoNSTR e ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK tA_U.�C � <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �� <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � , % / <br /> ,r � t4 <br /> IXIMECHANICAL $ �"1 y�� VALUATION OF MECHANICAL INSTALLATION <br /> �� � ( <br /> ,r-" o' � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER �i;�., �� " � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ` <br /> . . ._� <br /> BUILDER COMPANY �— <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address <br /> License# —� <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 <br /> License# <br /> MECHANICAL <br /> ` COMP Y � �,�V 1 C e S 1 � K-- � <br /> SIGNATURE STERED Y/ N FEE CURRE� Y/N <br /> Address • A Og �/?/��� <br /> License# Gf7(i' <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe 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,Slortnwater 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 Plans. <br /> ""'PROPERTY SURVEY required for all NEW construGion. <br /> Directions: <br /> Fill out application completely , <br /> Owner&Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement is required. (AIC upgrades over S750D) <br /> " Agent(/or the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Appiication Onty) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />