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sis-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � Phone Contact for Permitting �.� `� -- .2�'� <br /> Owner's Name � �i � /��l�i v� Owner Phone Number <br /> Owner's Address �7 r�� �e Owner Phone Number [ <br /> Fee 5imple Titleholder Name Owner Phone Number [ —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �7 Q '�{ ] LOT# �� <br /> SUBDIVISION We o � -1•/ , PARCEL ID# �b 'a�' o�� - Q�o70 •� U(/()vQ --JQ� () <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE 0 SFR � COMM C� OTHER � <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME �� STEEL Q <br /> ve � � <br /> DESCRIPTION OF WORK --� �.���,����„�„� j�3� �,/ J/7� � <br /> BUILDING SIZE —� SQ FOOTAGE�� HEIGHT �� <br /> BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS E:NERGY � W.R.E C. <br /> �PLUMBING $ ���� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ?i�� <br /> '� <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA DYES NCI <br /> BUILDER � `�' COMPANY 'U��d or�/ �Ci/ o�/ /q � �� <br /> SIGNATURE � REGISTERED Y N FEE CURRE',� /N <br /> Address �j 0 �i in�i',� �y - License# C�'��J�!/�/��19 <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/N <br /> Address Lice�se# C � <br /> PLUMBER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURREn [ Y/N <br /> Address License# C <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY —� <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C � <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,Construciion Plans,Stormwater Plans w!Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)compleie 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/SiIE Fence instalied, <br /> Sanitary Facilities& 1 dumpster Site Work Permii 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 constructio�. <br /> Directions: <br /> Fiil out application completely <br /> Owner 8 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 Attorney(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 5ervice Upgrades A1C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />