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s�s-�so-oo2o City of Zephyrhills Permit Appiication Fax-813-780-0021 <br /> Building Depa�tment <br /> � Date Received � ���_ Phone Contact for Pertnittin a 13 9� - .�y <br /> Owner's Name Owner Phone Number - <br /> Owner's Address / Q Owner Phone Number -� <br /> Fee Simple Titleholder Name (�qrCi1 �GLot3tS -� Owner Phone Number <br /> Fee Simple Titleholder Addresa p� Ur <br /> JOB ADDRESS � O K LOT# a�O <br /> SUBDIVISION S,1��j DG/�S PARCEL ID# 0.3- �2� -Ql(o�_ Q`j - v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER C r) <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK S�C p f <br /> BUILDING SIZE ���X?.2-� SQ FOOTAGE (� HEIGHT ��4k►�GQS <br /> BUILDING a �..J .�,�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING � �jj <br /> � ��F� �D�- <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIOf��,`�����J� �`� <br /> �� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER nl � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> r �� <br /> BUILDER COMPANY <br /> SIGNATURE 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 /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> i <br /> OTHER �.� COMPANY �fGSI n Z InN�G X A�-ri <br /> SIGNATURE REGISTERED / N FEE CURRE� Y N <br /> Address �V.�3 /p� a �6� License# <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcGon, <br /> Mfnimum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster,Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)comptete 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 onsfte,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 /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"""PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgradea 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 SeMce Upgredes A/C Eences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />