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si3-�ao-oazr� City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � ��—��� <br /> Pho�e Contact for Permittin <br /> Owner's Name 11ns �t reev� �(�jL,�'�.�-- Owner Phone Number '��2`�1 I �,�p <br /> Owner's Address �g( � �.;m m�k Owner Phone Number�— <br /> Fee Simple Titlehoider Name Owner Phone Number� —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 03� FJ r-{-t-� �-U U(Z h �t LOT# � <br /> SUBDIVISION PARCEL ID# ��(�j—�( . �� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT [� SIGN [� MOVE <br /> INSTALL Q DEMOLISH <br /> REPAIR <br /> PROP05ED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � OTHER <br /> �ESCRIPTION OF WORK A C � � � ��fl <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE <br /> � PROGRESS ENERGY � W.R.E.C. <br /> � PLUMBING � <br /> � MECHANICAL $ �'� VALUATION OF MECHANICAL INSTAILATION � ( 1 ��� <br /> / <br /> � GAS � ROOFING <br /> 0 SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> f2EGISTERED Y/ N FEE CURRENT Y!N <br /> Address License# � —� <br /> ELEGTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> PLUMBER � <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y!N <br /> Address License# � � <br /> MECHANICAL `����- � COMPANY � lrT� Ir �70� <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address �Z-� �Z � r��{�S �� 3� License# I� <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> RESID�NTIAL 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 Pians,Stormwater Pians w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work 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)working days after submittai date. Required o�site,Construction Plans,Stormwater 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&Contractor sign back of application,notarized <br /> If over$2500, a Notice of Commencement is required. (A/C upgrades over$5000) <br /> '" Agent(for the contractor)or Power of Attorney(for the owner)wouid be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> ❑riveways-Not over Counter if on public roadways..needs ROW <br />