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.,.s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �ate Receivea °1 Z-� �S4c� __ c 3z�o x Z3-� <br /> Phone Contact for Permitting <br /> 1 1 1 1 1 1 1 1 1 1 1 i 1 <br /> Owner's Name 1/ G2 � �k ��Q(�S �(:�'�C Owner Phone Number I --�3 - °l0 3l� <br /> Owner's Address ���Q�' 1'�S �1� Owner Phone Number C_ <br /> Fee Simple Tltleholdet Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� �� ^ S 3 LOT# (GI`Zq <br /> SUBDIVISION PARCEL ID# � �"��—o�� 'OO( �— t5� U(,)—��C�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEw CONSTR e ADDlALT � SIGN Q C� 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 �, G " � � C. O 5 � I C _ �' I"�N <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT ] <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENER�3Y Q W.R.E.0 <br /> QPLUMBING $ �� <br /> QMECHANICAL $ ' n �� pv VALUATION OF MECHANICAL INSTALLATION �� I �� <br /> lJ�i <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <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# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# C <br /> MECHANICAL � �' COMPANY �� �-� �r��Vl�i C��(� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address �3�� 5'� � �jq'�� License# �t-�L-(15��3rJ <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 Forms,R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site`S'ork Permit far subdivisions/�arge 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 submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&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 s7500) <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 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 />