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s�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �/�� — ��. �—�,� phona Contact for Permittin -- <br /> Owner's Name �; a 1 � LV\ 1 1 Owner Phone Number 1Z, v�Z (D�� � <br /> Owner's Address J�-"11p � 1� S"1 . Ow�er Phone Number <br /> Fee Slmple Titieholder Name S�I,�,Q —� Owner Phone Numbar <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ' I t S� . LOT� �� <br /> SUBDIVISION PARCEL ID# �� ' ��° 2� � ���� V ( �OO O-- OOOS <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �e ��� J[.�► V�.►�.c Gt- �l� • I OO� <br /> BUILDING SIZE SQ FOOTAGE�� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING s 2� Zy3.ti�i � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATIO ��"' �/ <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � �� <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA QYES NO � 1'i�ys� <br /> � <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 ��X�µa'� d �u-�� � <br /> SIGNATURE /� '� - �C-� REGISTERED Y/ N FEE CURREA Y/N <br /> Address , � �! �'t_ � 1 1. p� ��-S V 3 f�� � License# t,��C('i'l�G v <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 J 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 aRer submittal date. Required onsite,Construction Plans,Stonnwater Pians w/Silt Fence installed, <br /> Sanitary FaGlities 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 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consUuction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C 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 Applica�on Onlyj <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />