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s�a-�sa-oo2c� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � `2j <br /> �� � _ ) Phone Contact for Permittin _ <br /> , <br /> ONrner's Name Owner Phone Number °zZZ ��( <br /> � � � <br /> Owner's Address • Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Tltleholder Address <br /> JOB ADDRESS � LP� 7 ' l LOT# �� <br /> SUBDIVISION 1 � PARCEL ID#O�-Z�1-2�'�D��U�lUC.Y�jb--��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VMORK PROPOSED B NEW CONSTR B ADD/ALT ��SIGN 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 /> � <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ F OT HEIGHT �� <br /> �BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> C�ELECTRICAL $ �� `� AMP SERVICE L!J i.u� � PROGRESS ENERGY � W.R.E.C. <br /> _ � <br /> OPLUMBING $ � � � / <br /> r s ! <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTAL�ATION / ( <br /> E �.....__�M�✓'. <br /> 1 <br /> [�GAS Q ROOFING Q SPECIALTY [� OTHER ��' , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> ELECTRICIAN COMPANY � � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �'�jQr��Q�-y�� <br /> PLUMBER COMPANY _� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivlsionsAarge projects <br /> COMMERCIAL Attach(3)complete sets ot 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from ovmer authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Appllcation Dnly) � <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..ne.eds ROW <br />