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s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-7B0-0021 <br /> , Building Department <br /> Date Received J � _- <br /> Phone Contact for Permittin •b <br /> Owner's Name � L i C q p�c,� Owner Phone Number - Cj- �'`��j <br /> Owner's Address � �( 1� Owne�Phone Number (3 �6 - � (;(o <br /> Fee Simpie Titleholder Name �'^ Owner Phone Number <br /> Fee Simple Titleholder Address ;� <br /> JOB ADDRESS / `� <br /> ' ��� `� �"' LOT# C� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FR�OM pROPERTY T�nce)DEMOLISH <br /> WORK PROPOSED NEw CoNSTR ADD/ALT [� SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DE3CRIPTION OF WORK � � �.C�� <br /> BUILDING SIZE � 3Q FOOTAGE NEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � ��' L <br /> QPLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r��� <br /> QGAS Q ROOFING Q SPECIALTY �/ �� � � � <br /> [_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES <br /> BUILDER COMPANY <br /> SIGNATURE , rtecis�Reo Y/ N FEE CURRE� Y/N <br /> Address License# -� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �_ <br /> . /'l <br /> PLUMBER C -- ` COMPANY �, ciC -�-� � �c���� <br /> SIGNATURE -_ �'�� � -� REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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 construcGon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles 8 1 dumpster;Stte Work Permit for subdivisionsAarge 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 subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for ali new proJects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "*"PROPERTY SURVEY required for all NEW construcHon. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> tf over 52500,a Notice of Commencement is requi►ed. (A/C upgrades over 57500) <br /> "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notari2ed letter from owner authoazing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />