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S�a-iso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received •� -� Phone Contact for Permittin – <br /> Owner's Name -��E � /V� S� Owner Phone Number /j2 . �! j� <br /> Owner's Address �9°`�� �U� �'�� z ��� Owr►er Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number �— <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ��U 76 ��J'�~ �T �'�� � ' � �G�PGL� �G�" LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � G <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Cr��n''�°�' �'J t 3 %U� ff P ��L/� SyS��/�'� ..5��� <br /> BUILDING SIZE � � SGZ FOOTAGE� HEIGHT <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �]ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY [� W.R.E.0 <br /> �PLUMBING $ <br /> �MECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 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# � <br /> y.� ��p�,�.,oa,, ,v�� l'�- f�:a�t i� <br /> MECHANICAL ,,�bJ 'h 1�O f COMPANY <br /> SIGNATURE C REGISTERED Y/ N FEE CURRE� Y/N / <br /> Address �� l,�v►'Ut3�IL' /� J-e' U����� License# �IYI C� ��=Y j��/�" " I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Requfred onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciUties&1 dumpster;Site Woric Pertnit for subdivisionsllarge 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&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 /> J J <br /> ����������er���*If�711171'ITIRTII <br /> Directions: <br /> Fill out application completely� <br /> Owner 8�Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement is required. (A/C upgrades over 57500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />