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s�a-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • Building Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner•s Name 1 � � �� � Jr– <br /> Owner Phone Number <br /> Owner's Address ��y�� � 5 ht re �r. � � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name (� <br /> Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � ������, Z �` <br /> 333� LOT# �� <br /> SUBDIVISION W ' Q,WdO� PARCELID# ��' Z..,�j � "Z _(�� _ <br /> (OBTAINED FROM PROPERTY TAX NOTIOCv _ O <br /> 1NORK PROPOSED B NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR 0 O DEMOLISH <br /> PROPOSED USE Q SFR Q COMM �� OTHER �—" <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK d� � � �• I�S, � S <br /> BUILDING SIZE SQ FOOTAGE C] <br /> HEIGHT <br /> �BUILDING $ <br /> �� VALUATION OF TOTAL CONSTRUCTION -� ��Q,Q� <br /> �J <br /> [�ELECTRICAL $ AMP SERVICE <br /> � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ l���� <br /> VALUATION OF MECHANICAL INSTALLATION � <br /> OGAS Q ROOFING �] SPECIALTY [� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURREA Y/N <br /> Address <br /> License# � <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER SC,Q <br /> SIGNATURE � COMPANY �CA'� �� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � � "��y Sqr��,t���G .L.3 sJ'rl� License# �C..e. �Sr]cj��—� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, <br /> Minimum ten(10)woricing days after submfttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilittes 8 1 dumpster;Site Work Permit for subdivistons/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)worlcing days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(�)'sets of Engi�leered Plans. <br /> """PROPERTY SURVEY required for all NEW construction. � <br /> Directions: <br /> Fill out appiication completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requfred. (A/C upgrades over sT500) <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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />