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e�saeo-oo2o City of Zephyrhills Permit Application Faz-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permfttin -- <br /> Owner's Name �'"��� �r 1 L �� Owner Phone Number '7�� ZZ � J� �7 <br /> Owner's Address � � � ( � s Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS w f�'(� ( � �t LOT# � <br /> SUBDIVI510N �— PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CoN57R ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALI B RE�AIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTIDN Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL a AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a _' ` <br /> (�(.���J <br /> QMECHANICAL $ ��ov Q U VALUATION OF MECHANICAL INSTALLATION � � � � <br /> �GAS Q ROOFING Q SPECIALTY Q OTHER ��J L' - <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 /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# —� <br /> PLUMBER � � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y!N <br /> Address License# <br /> MECHANiCAL COMPANY � � �Ud / ' �-� St <br /> SIGNATURE REGISTERED / N FEE CURRE� /N <br /> Address S�� �P �Li4 G" License# ��°1`- ��� �� 3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlities&1 dumpster;Site Work Permit for subdivisfons/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 aiter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permlt for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PF�OPERTY SURVEY requfred for all NEW consVuctlon. <br /> DirecNons: <br /> Fill out application completely. <br /> Owner 8 Co�tractor Sign back of application,notarized <br /> If over 52500,a Noti�ce of Commencement is requlred. (AJC upgrades over 57500) <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 PffRMITTING (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />