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a�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received (��., <br /> 13 Phone Contact for Permlttin <br /> Owner's Name � z�( n. �j��� Owner Phone Number <br /> Owner's Address �-3.3.5 S . Owner Phone Number <br /> Fee Simpie Titleholder Name � <br /> Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �lJ� �ct�( �lV � 6 Z <br /> LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR � � DEMOLISH <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTtON OF WORK � ( �I4 cIC j� (��� <br /> BUILDING SIZE SQ FOOTAGE bJ L� � <br /> HEIGHT <br /> �BUILDING $ <br /> �� �Z VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PI��2ESS ENERGY Q W,F�.E.C. <br /> ,/ <br /> QPLUMBING $ ��� <br /> QMECHANICAL $ � � <br /> VALUATION OF MECHANICAL INSTALLATION � <br /> [�GAS Q ROOFING Q SPECIALTY w <br /> [—� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER _ COMPANY �M t {✓/C� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� <br /> // Y/N <br /> Address s�,S� /']�4 �Q L,/� <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuctlon. <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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is required. (A/C upgrades over E7500) <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 PERMI7TING (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 />