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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permlttin _ <br /> Owner's Name G %.�� °l y�Y !vt�c l� <br /> Owner Phone Number <br /> Owner's Address � � � h � cy r� Owner Phone Number �— <br /> Fee Simple Titleholder Name � Owner Phone Number �— � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS /?1� f � C c'o Z� � { /I � LOT# � <br /> SUBDIVISION Gt K. J��✓� PARCEL ID# — �,�—Z�— U/OU"" U C'a� � (�--�� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> V110RK PROPOSED B NEw CONSTR 8 ADD/ALT �� SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C rt��:� �� ,.f � � ��� ��,,��yl'�,;r e <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ ������, ..a ' VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI $ AMP SERVICE 0 PROGRESS ENERGY [� W.R.E.C. <br /> QPLUMBING $ � <br /> � �� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS 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 ��1. - ,,/�,�� COMPANY fG'� C�!CLcd,., �:,�. C¢s�� <br /> SIGNATURE �-- '�'U"�v'��� REGISTERED Y I N FEE CURRE� Y/N <br /> Address ��-( Chf 7� j 7 <br /> License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facllities&1 dumpster;Site Wor1c Permit for subdivlsfonsAarge 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 construcGon. <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 s2500,a Notice of Commencement is requlred. (AIC upgrades over:T500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />