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s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received r-r ��— � v 3 Phone Contact for Permittin !� �'�� _ 7� <br /> Owner's Name �� Owner Phone Number <br /> Owne�'s Addre J�J� � �L'�i ( J1� � � � 1�-� • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �L=� )� U � � /�L�r LOT# �� <br /> SUBDIVISION �l�L R��-J ,�)A1� , PARCEL ID# �'L-' 2 - ��- 00 �]b - b0 U�O --Z ZFj <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADDlALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �' SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL O <br /> DESCRIPTION OF WORK � 1� �^►'L /`-� l�C= �9,�/(1�J � <br /> BUILDING SIZE � SQ FOOTAGE�� HEIGHT <br /> BUILDING $ � �� VALUATION OF TOTAL CONSTRUCTION <br /> . <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C, <br /> � <br /> �PLUMBING $ <br /> , <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L� <br /> ���� � <br /> OGAS 0 ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ,1 � <br /> BUILDER /� , j C�J�7 /,� COMPANY ��J� �.�.•'�----- <br /> SIGNATURE� C� �i�.� ��� 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 /> 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,Co�sUuc6on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete seis 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&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 Commencerrtent is required. (A!C upgrades over 57500) <br />" Agent(for the co�tractor)or Power of Attomey(for the owner)would be someone with notarized letter from pwner authorizing same <br /> OVER THE COUNTER PERMtTTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />