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8�3-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �� ��U .— J� <br /> � Phone Contact for Permittin _ <br /> � J.'I ,,/ <br /> Owner's Name s C�/` I � v ���� `�� Owner Phone Number <br /> Owner's Address p� � 6" c/-�- ✓;/'�� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS '(,7 � ,j� (� � 9��� ' LOT# �� <br /> SUBDIVISION PARCEL ID# �L � <br /> �OBTAINED FR�OM pROPERTY T�TicE)DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ✓ .�?�" �� J,� � ' , <br /> BUILDING SIZE SQ FO , GE ,5�aJ , <br /> -/ HEIGHT , <br /> BUILOING �'1 �, - <br /> r i �.. $ � I VALUATION OF TOTA�CONSTRUCTION <br /> / _J <br /> DELECTRICAL ($ - AMP SERWCE PROGR �ENERGY Q W.R.E.C. <br /> �__ �• �� '�e� �i <br /> OPWMBING $ �-"� / _ � � <br /> `______---�` ��c� ,� 1�C <br /> OMECHANICAL $ VALUAT -HA1�itCAL INSTALLAT N� ��� f <br /> �GAS � ROOFING Q SPECIALTY C� OTHER <br /> \. <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER /y�� COMPANY /—�G J �U ��� <br /> SIGNATURE '✓Y"�w /�°/ REGISTERED .JP'l N FEE CURRE� Y/N <br /> Address / y,s� �� Ok, ��J� G.i� License# ��i(�i 1 3��-'o�(.�.j� <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 /> OTHER COMPANY <br /> SIGNATURE 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 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 subdivisionsllarge 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 consUuction. <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.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "`"'PROPERTY SURVEY required for all NEW construction. <br /> T'1111i�1�f111�717e�����r�� <br /> Directions. "" <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over a7500) <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 v#Applieetion•Onl�c) , ,, <br /> Reroofs if shingles Sewers Senrice Upgrades A/C ,FenCes(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW ; <br />