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s�aaso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Depattment <br /> Date Received Phone Contact for Permittin U l-� �c�'�' - �� 'c,�.. <br /> Owner's Name /�� «N �/���- Owner Phone Number <br /> Owner's Address ��/ 0 �'� �`�. �� Owner Phone Number C � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder A�ddress <br /> JOB ADDRESS LOT# � <br /> SUBDIVISION , PARCEL ID# ��`�6 -�-� 'C�C?l !'1 -C� <��`Cd Q -� �C,i l ( <br /> (OBTAINED FROAA PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN � �� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q [ <br /> DESCRIPTION OF WORK ?' e�%f/N L//✓/� /" � N� �� <br /> BUILDING SIZE SQ FOOTAGE ��0 HEIGHT �/- , ] <br /> �BUILDING $ r VALUATION OF TOTAL CONSTRUCTION <br /> :��a J�U C <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ / <br /> �� � <br /> QME�HANICAL $ VALUATION OF MECHANICAL INSTALLATION �i � <br /> [�GAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER / � , COMPANY ��I S�C` a ��/V�� ��� /,-..l f� <br /> SIGNATURE -r (/�!,� ��� REGISTERED Y N FEE CURRE� Y N <br /> Address � �' ✓,� S% Z , /1' License# C <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y 1 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 /> REStDENTIAL 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,Construction Plans,Stormwater Plans wl Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Woiic Permit 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 Permit for new construction. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilides 8 1 dumpster.Site Work PeRnit 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 construcdon. <br /> Directions: <br /> Fill out application campletely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over t2500,a Notice of Commencement is required. (A/C upgrades over E7500) <br /> *' Agent(for the contractor)or Power of Attomey(for the ownfi�would be someone with notarized letter from owner authorizing same <br /> OVER THE COl!MTER PffRMITTiNG (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..needs120W � � <br />