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a�saso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ,, <br /> Date Received . � — � ..5� �7�S— (�� q�� <br /> � Phone Contact for Permittin <br /> Owner's Name �"�,�U r''�-' � � � Owner Phone Number <br /> Owner's Address c/�r�� �l`/� h Owner Phone Number � � <br /> Fee Simple Titleholder Name � � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS <br /> �5�� �/'/ 2� /� �. LOT# �� <br /> SUBDIVIStON �— � PARCEL ID -� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL� Q <br /> DESCRIPTION OF WORK @ )'� I y � �" <br /> �0� �.� �� " ` � ��v � <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> BUILDING $ - �� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, <br /> OPLUMBING $ �I � !� <br /> ��T <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS 0 ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � / � � °�COMPANY <br /> �l�►.�— <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# � <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 I 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 Pertnit 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,Construcdon 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 all NEW consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> '* Agent(for the contractor)or Power of Attorney(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 />