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sis-�so-oozo , City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received �% �`�L�,,,� ,,ZQfJ phone Contact for Permittin ��i.�� � y ��� <br /> Owner's Name G' <<" � so �/ Owner Phone Number <br /> Owner's Address 3��i3 /" /1� t" `'l Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � IS �/�i r ►' LOT# ��� <br /> SUBDIVISION / r��.z. , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/ALT � SIGN Q 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 /���1/t'" �cC'� h° 4+t G �.✓�•t o,�J �y.�/ io E'� µ c?o�^ <br /> BUILDING SI2E �:�d ' �. SQ FOOTAGE sU� HEIGHT /� / <br /> C'�BUILDING $ ��=' VALUATION OF TOTAL CONSTRUCTION <br /> �'UO` _ <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBtNG $ ���� <br /> MECHANICAL �� <br /> C� $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER '' �'�"�� � COMPANY w•'� G��,�/L_. <br /> SIGNATURE /� ` REGISTERED Y/ N FEE CURRE� Y/N <br /> Add�ess �'j�/,5 r <br /> 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 /> 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 construcGon, <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 Woric 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 submlttal 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 8 Contractor sign back of application,notarized <br /> If over$2500,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 Application Only) � . , - ? <br /> Reroafs if shingles Sewers Service U '' �� `•' '°"` '4���-~�--~�°• �--�•»��•�:��.•-• <br /> pgrades A/C Fences(PIoUSurvey/Footage) � . . <br /> Driveways-Not over Counter if on public roadways..needs ROW . � . ' � <br /> t <br /> .. �.. . � ..._.,.... ...a....t,� . ... ,,,..<�.i <br />