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s�a-�aa-oo2a City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin 1 ' '7 _ '� 5 �g <br /> Owner's Name ��K,t� p � Owner Phone Number S��3 -y t�q-�2aq <br /> Owner's Address `-�g �� S-�• Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � -1 <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS y q aa � � �y 1 . <br /> LOT# � <br /> SUBDNISION PARCEL ID# I-1 �a� %t� OU I� �03� O(I U <br /> (OBTAINED F�RO�M pROPERTY TAO ricel DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT �� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CON3TRUCTION � BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK �IG �h�t (3u fi PrI� 9����. <br /> BUILDING SIZE � SQ FOOTAGE � S HEIGHT C-� <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �� 399� <br /> �,(VIECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br /> . <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE 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# r -1 <br /> MECHANICAL COMPANY � Y'� SQ �C2S 0 Cv -�v�C.. <br /> SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3�1� ��' Q. License# -� <br /> OTHER COMPANY <br /> 31GNATURE 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)woiicing days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivlsfonsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consWctlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet wmpliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY requfred for all NEW consVuction. <br /> Directions: <br /> Fili out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over;7500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)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 />