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a�§-�so-ooza City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received <br /> Phone Contact for Permittin _ <br /> Owner's Name / � C �l l� �f Owner Phone Number <br /> Owner's Address S�33S" 8`� S , Owner Phone Number <br /> Fee Simple Titieholder Name —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/ 7 �� ��J /L ,D 6 v �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM pROPERTY TAxOHOTicE1�EMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE [� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � , ,Br4 C�� Q�� L�.�k <br /> BUILDING SIZE �— SQ FOOTAGE b� L-� 6 � <br /> HEIGHT <br /> OBUILDING $ ]�su VALUATION OF TOTAL CONSTRUCTION <br /> / ! <br /> QELECTRICAL �� AMP SERVICE <br /> Q PROGR�NERGY O �fV.R.E.C. <br /> QPLUMBING $ ` <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTA TION 1 �,3� <br /> / � <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY — ---� <br /> BUILDER ' COMPANY � 4Ce <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address �,,r� C/ 7nl' � <br /> 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 Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans wl Silt Fence installed, <br /> Sanitary Fadlities&1 dumpster;Site Work Pertnit for subdivisionsflarge 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <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 52500,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 PERMITTING (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 />