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e�saso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' ' Building Department <br /> )ate Received Phone Contact for Permittln � -� <br /> )wner's Name Owner Phone Number �� � '-' <br /> )wner's Address f ) ., Owner Phone Number <br /> 'ee Simple Titleholder Name �— Owner Phone Number � <br /> 'ee Simple Titleholder Address <br /> 108 ADDRESS ��/✓� —. LOT# � <br /> iUBDIVISION . PARCEL ID# I�� � � O " ' .7 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> IYORK PROPOSED e NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> �ROPOSED USE Q SFR Q COMM � OTHER <br /> fYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> � ' 2J,f �� <br /> �MECHANICAL $ ��/ VALUATION OF MECHANICAL INSTALLATION % � �)"r '" <br /> / � <br /> GAS ROOFING SPECIALTY OTHER ""�� <br /> � 0 0 0 � •...___.._�_�'•�-._. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NC�., <br /> BUILDER � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> 51GNATURE REGISTERED Y/ FEE CURRE� Y/N <br /> Address License# � ��. �� <br /> DTHER COMPANY <br /> 51GNATURE 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 construcbon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Co�struction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 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 FoRns.R-O-W Permit for new consVuction. <br /> Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> *"'*PROPERTY SURVEY required for all NEW construcHon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applica6on,notarized <br /> If over 52500,a Notice of Commencement Is required. (A/C upgrades over ST500) <br /> " Agent(for the conUactor)or Power of Attomey(for the owner)would be someone with nofarized letter from ovmer authorizing same <br /> DVER THE COUNTER PERMITTING (Front of Application Only) <br /> �eroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />