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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Daria Received Phone Contact for Permittin -- � <br /> � i �,K /� � f'��.-L� Owner Phone Number -�/ ,"1 � �G <br /> ,� p � ' /' - , 37/� <br /> �1� ��JZ��� LL, f��-� Owner Phone Num ! <br /> Fee Simple Titleholder Name Ovmer Phone Number <br /> Fee Simple Titleholder Address <br /> �����p.9�a�pr �3 �P ��'L� �!/' � LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� R9Dffttfi Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � � Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK J �� w � �N��� r �� /� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QB�l�' S S f VA ION �� � C� O <br /> . <br /> QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ n� <br /> J <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ( ��� � <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �;,w , ` � ��,,,, �l�G(��1�:?t� <br /> g� ^� ''� "� ��! REGISTERED Y/ N FEE CURRE� Y/N <br /> �; <br /> Address ��� License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� 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 /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fonns;R-O-W Permit for new conshucGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fadliries 8 1 dumpster;Site Work Pem►it for subdivisionsAarge projects <br /> COMMERCIAI 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 wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """'PROPERTY SURVEY requlred for all NEW consVuction. <br /> Directions: <br /> Fill aut application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over SZ500,a Notice of Commencement is required. (AIC upgradea over 57500) <br /> "" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />