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a�s-�so-oozo City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received - �- / phone Contact for Permitting �L^ � / � <br /> �r r-r r r <br /> Owners Name Pasco County Board of County Commisioners Owner Phone Number 727 834-3292 <br /> Owners Address �'est Pasco Govt.Center S 230 7530 W Little Rd pWner Phone Number �72�)g34-3292 <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS 8-20 West side of 301 approx 400'N of Geiger Road LOT# � <br /> SUBDIVISION PARCEL IDJf <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR� ADDlALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER A uminum <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Install bus shelter with storm drain <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ ? � VALUATION OF TOTAL CONSTRUCTION 3`J <br /> J j <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �iH'Z " � <br /> 1 <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> d' <br /> �/ t <br /> BUILDER A, `C/ COMPANY Daly&Zilch,(FL),Inc. <br /> SIGNATURE K� ��� REGISTERED Y/ N FEE CURRE� Y!N <br /> Address P O ox 937,Lecanto,FL 34460- 937 License# CG C059597 <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 � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> I111111111111111111111111111111111111111111111111111111111111111111 <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,Construdion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe 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,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projeds.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'•PROPERTY SURVEY required for all NEW construction. <br /> Dvections:• <br /> Fiil out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 5z500,a Notice of Commencement is required. (A/C upgrodes 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 Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter'rf on public roadways..needs ROW <br />