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s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> Date Received .�` phone ConWct for Pertnittin ��� 3 I - O <br /> T"1T rIT <br /> Owners Name Pasco County Board of County Comm�sioners Owner Phone Number 727 834-3292 <br /> Owners Address West 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 Titleholder Address <br /> �oe aDDRESS B-22 East side of 301 approx 385'N of Market Square Drive LO7# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSrR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER A ummum <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME � STEEL Q <br /> DESCRIPTION OF WORK Install bus shelter <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> �BUILDING $ L(y/?�j VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ / AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ I T Z 7� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� <br /> � <br /> �GAS Q ROOFiNG Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � � � COMPANY Daly&Zilch,(FL),Inc. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address P O os 937,Lecanto,FL 34460-0937 License# CG C059597 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Sili Fence installed, <br /> Sanitary Facilities 8.t dumpster;Site Work Pertnit 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 Pertnit 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 projects.All commercial requirements must meet compliance <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&Contracior sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgredes over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for fhe 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 />