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8�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 3 " � S� (3 Phone Coaitact for Permlttin --~�"��� <br /> � <br /> Owner's Name J°� � �� ���S a� Owner Phone Numb r . 5- c3 R �J�-��(�j f <br /> . <br /> Owner's Address s� � ? �l,l o� ' C �� Z c 1ti � L�l50wner Phone Num - <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address <br /> r"�IOB ADDRESS �� L� � � ' H �`�� Z�? (n y-� � �� LOT# � <br /> SUBDIVISION � PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEw CONS7R ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �� <br /> DESCRIPTION OF WORK � � � X l �� � v rv �a c5 P✓ <br /> BUILDING SIZE � g� X � �� 3Q FOOTAGE �g� HEIGHT 8 t— �� � <br /> �BUILDING $ ��j�� c.�0 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGROE�NERGY Q W.R.E.C. <br /> '� � . <br /> �PLUMBING $ � � �, <br /> ,- U <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �,r�a,��dN� <br /> ��. <br /> OGAS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> L <br /> BUILDER /`�'�{ COMPANY <br /> SIGNATURE �/- ` � REGISTERED Y/ N FEE CURRE� /N <br /> Address License# r— <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 I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y J 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 onslte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpster;Site Work Permit for subdivlsionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construc6on. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Ptans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 8�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&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A/C upgrades over E7500) <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 PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drfveways-Not over Cou�ter if on public roadways..needs ROW <br />