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e�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � ` �"� �j Phone Contact for Permittin <br /> f __ <br /> Owners Name • �. LC ' � � �1rhe�i�one Number <br /> 2 ' ' � � t� <br /> Owner's Address Owner Phone Number� <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � LOT# C� <br /> SUBDiVISiON PARCEL ID# / —Z - - (���0"��,� ^Q <br /> (OBTAINED FR�OM pROPERTY T�710E!DEMOLISH <br /> WORK PROPOSE� NEW CONSTR ADD/ALT �� SIGN <br /> fNSTALL 8 REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �j(.� C�/� (�YC <br /> BUILDING SIZE SQ FOOTAGE HEIGHT �_—� <br /> �BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0 <br /> QPLUMBING $ �/LL�7/ <br /> -�- <br /> OMECHANICAL $ � VALUATION OF MECHANICAL�NSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> i� <br /> BUILDER � COMPANY O(JN��I,, <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/N <br /> Address License# � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PeRnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster;Site Work Permit for subdivisions/large 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 consUuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8�1 dumpster.Site Work Permit for all new projects.All commercia�requirements must meet compliance <br /> SIGN PERMiT Attach(2)sets of Engineered Plans. <br /> '""'PROPERTY SURVEY required for all NEW construction. <br /> Directtons: <br /> Fill out applicaGon compietely. <br /> Owner 8 Contractor sign back of appiication,notarized <br /> If over 52500,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 PERMITTINC (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />