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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact Tor Permitting -- <br /> � � � � � � � 1 1 1 � i � <br /> Owner's Name � �Z Owner Phone Number 6/'� � YO� �-�/ <br /> Owner's Address � Owner Phone Number ��//���I'%�( } <br /> 1 '�{'1/� �ti <br /> Fee Simple Titlehoider Name Owner Phone Number � ��� <br /> � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ^O A' ��� LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERN TAX NO710E� <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OFCONSTRUCTION BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK G �(% �D G� I� JC. S <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT � <br /> LDING $ VAI.UATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL � AMP SERVICE � PROGRESS ENERGY � W.R.E.0 <br /> OPLUMBING $ <br /> �MECHANICAL $� �2 �O VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECiALTY � OTHER <br /> FINISHED FIOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER � COMPANY —� <br /> SIGNATURE REGISTERED Y! N FEECURREA 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 CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY G�Tt� 1�Vt �IQ „1G✓� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � � Q� + � License# ��r / / � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(i)set of Energy Forms;R-O-W Permit for new construdion, <br /> Minimum ten(10)working days afler submitlal date. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, <br /> Sa�itary Facilities&1 dumpster Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets oT Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanilary Facilities 8 1 dumpster Site Work Permit for all new projeds.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. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Atlomey(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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />