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ais-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �.- L '��� �j Phone Contact for Permitting ��� _�Cj <br /> Owner's Name i � 1Y...� - �(� Owner Phone Number 1 U, •OI�J�"l'����JJ <br /> Owner's Address iy � s�-, � 33s�ia Owner Phone Number <br /> Fee Simpie Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ` �Y �/1 � ,''L �� ��„ LOT# � <br /> SUBDIVISION �' , PARCEL ID# Ic�-c�Ce•c��•L��-E(� ' C�O�X'� - ��ou <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN DEMOLISH <br /> INSTALL REPAIR � .�,� <br /> PROPOSED USE Q SFR '� COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK C�U^ ` ��S �j <br /> BUILDING SIZE SQ FOOTAGE U HEIGHT <br /> �BUILDING $�'`� �*\ VALUATION OF TOTAL CONSTRUCTION <br /> v ��..J- <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T� /��0� <br /> �GAS � 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 /> EIECTRICIAN CUMPANY <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 1'1 Up J"1�l <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address � � � �., ��JJ� License# �. �3a ��I <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 onsite,Construction Plans,Stormwater Pians w/Silt Fe�ce installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large 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 ali NEW construction. <br /> Directions: <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over�7500) <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 />