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s�3-7ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Buiiding Department <br /> Date Received �3 �j��j phone Contact for Permittin •� / _ �p <br /> �.. <br /> Owner's Name ,7�/ $'�� � Owner Phone Number �� ��7�(.� �`j <br /> Owner's Address � �9CGl �`z� �c��� Owner Phone Number � "2j� <br /> Fee Simple Titleholder Name Owner Phone Number p /`�- <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ���� �ic/ �all(� � � ZP ,7 /�//S� LaT# � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADDlALT '� 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 ��� � ,6�o-i`G/c2 � �75—j6Cl�� ��s' � ��/S' <br /> BUILDING SIZE � SQ FOOTAGEC� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> ' ELECTRICAL $ � �� AMP SERVICE � PROGRESS ENERGY Q W.R.E C. <br /> OPLUMBING $ r/�j� ��� <br /> �� 7� �"'� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ������?�/ <br /> 9 <br /> �GAS Q ROOFING Q SPECIALTY � OTHER � I �? ��Y/ <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address ' License# � <br /> ELECTRICIAN � COMPANY-� /�C�N � �l��kt, �- <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> �/�Address ����`�� � TT��'o¢�G� - L � �}cense# ' p � <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 /> Add�ess 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 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 wl 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 ail NEW construction. <br /> Directions: <br /> Fiil out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over i2500,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 /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />