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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department �( �� <br /> l <br /> Date Received �r- I --� �i <br /> Phone Contact for Permittin �O <br /> Owner's Name �!-j Owner Phone Number " !9 —� <br /> Owner's Address � , �,� 02 Owner Phone Number <br /> Fee SPmple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � � <br /> � � LOT# ( <br /> SUBDIVISION � ; PARCEL ID# �o� ' —a� O— DODp—O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR � -ADD/ALT � SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR 0 COMM Q OTHER lu�r halw'+�o�r o.r� ay <br /> TYPE OF CONSTRUCTION � BLOCK Q� FRAME Q STEEL Q OTHER <br /> {3ac w�eo rM e ro �K.rso ,s, exts i�cgto � r a l 2 ?�2�. <br /> DESCRIPTION OF WORK caf of Z�r+0�-�iub� ccN{-oa`h rv� <br /> alu�rrc`�tul�t�o oSi�h�� cl � !3 atio <br /> /2}�Z2 Sufr�vc�+ �^ d� � covev v�o � <br /> BUILDINGSIZE �` /3 .��dcou SQFOOTAGE ��0� HEIGHT QA� O Q� a��eK�lCisfi`rt9 <br /> cod,r�haT�e <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> . <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> Q PLUMBING $ ��� <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � � ,Q��- <br /> 2 ' <br /> 0 GAS 0 ROOFING Q SPECIALTY Q OTHER � o P��S� <br /> FINISHED FLOOR ELEVATIONS , / ��� FLOOD ZONE AREA �YES Q <br /> �/� <br /> k D <br /> BUILDER COMPANY h—� �� �[, _ e�j � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN�! Y/N • <br /> Address , sle. l �= �3 License# L <br /> ELECTRICIAN ;� ��(�n� Q COMPANY <br /> SIGNATURE ����� REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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)working days 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)sets of Building Plans;(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 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over;5000) <br /> '* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />