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s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received _ —�� Phone Contact for Permittin ��,3 v 3� _�7� <br /> Owner's Name �r !" �°j Owner Phone Number p�3"�d ,�3y� <br /> Owner's Address �O ��/ /`T� � C ,� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� � l�tl (f� LOT# � <br /> SUBDIVISION / �' ' PARCEL ID# ��` � a ^�Q�� � — ��j�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CoNSTR� ADD/ALT [� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �� SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �1A�� O✓�R ��/ � ��$ � ��- � /��� •. <br /> BUILDING SIZE —� SQ FOOTAGE cs�SD� HEIGHT �� <br /> Q BUILDING $ � �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W,R.E.0 <br /> OPLUMBING $ ( /% �/�� <br /> / � Q�• � • x <br /> QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION � j���v <br /> OGAS � ROOFING Q SPECIALTY � 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 /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER � �� COMPANY ��//d� CI'-�'� ��� ��� <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address 8�y� a3� , � � �t s� 3��0 License# C�� � D <br /> RESIDENTIAL Attach(2)Piot Plans;(2)sets of Buflding 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,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Fadlitfes 8 1 dumpster;Site Work Permit for subdivisionsflarge projects <br /> COMMERCIA� 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 instafled, <br /> Sanitary Fadlities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compiiance <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 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 owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingies Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />