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a�s-�so-oo2o City of Zephyrhills Permit Application <br /> Fax-813-780-0021 <br /> Building Department <br /> Date Received �� Phone Contact for Permittin 0 a� �1�` '" `�� �� <br /> �-r��—fTT O� <br /> �p � OwnerPhoneNumber 0'3�gGO�� �yL� <br /> Owner's Name �� � <br /> Owner Phone Number <br /> Owner's Address U�t �' W�' <br /> Fee Simple Titleholder Name <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 1��� I �� � �`- LOT# � <br /> SUBDIVISION <br /> PARCEL ID# G�"d�T�I - �I� �-V�7� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED <br /> e NEW CONSTR B ADDIALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��X I �D �S h�' <br /> BUILDING SIZE I�� �b SQ FOOTAGE � /� HEIGHT <br /> �BUILDING $ � '2�� VALUATION OF TOTAL CONSTRUCTION <br /> .J <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ��� � <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION t�f' � <br /> 1 <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES N� <br /> BUILDER �(D --- � 1 COMPANY I �7 ' J <br /> SIGNATURE /�"- REGISTERED N FEE CURREN Y/N <br /> �icense# C ' SJG 4' <br /> Address <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> License# r-- <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> License# � <br /> Address <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> License# <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> License# <br /> Address <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Stortnwater 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 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. (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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />