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s�a-�so-oozo City of Zephyrhills Permit Application Fax-813-760-0021 <br /> Building Departme t <br /> �lc.� (�cc�Js�' �,c._ <br /> Date Received Phone Contact for Permittin O`J 7� -- �u <br /> �Owner's Name a �'� � J�� Owner Phone Number � ��— ��� <br /> O�nrner's Address Owner Phone Num r <br /> Fee Simple Titleholder Name � Owner Phone Numb <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS � ` � "� ��-r�Z /V�� � r�/ LOT# � � / <br /> SUBDIVISION TM G �-�-� �� PARCEL ID# �y`°�'6 °L�a��� �dO� "Ol�S� <br /> Q (OBTAINED FROM PROPERTY TAX NO710E) <br /> VYORK PROPOSED � NEW CONSTR B ADD/ALT � SIGN Q � 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 �� � 3�- `�-'�• <br /> BUILDING SIZE �� x�� SQ FOOTAGE �� HEIGHT C� <br /> [�]BUILDING $ il� ��j,,� VALUATION OF TOTAL CONSTRUCTION <br /> �� `��� <br /> �ELECTRICAL $ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> �PLUMBING $ �'/� � n��� f/ �_ <br /> � �� � �' f�' �,�I�- <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI ����� ¢�P <br /> � `�� <br /> �GAS Q ROOFING Q SPECIALTY � OTHER �l�6`T� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> .�� ' <br /> BUILDER � � � COMPANY D�U/�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �G(��/ CL4�TL ��� License# � <br /> � A~ �' �/vI�Q� <br /> ELECTRICIAN � 'Y` �COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � �0- ��� �./r • � License# <br /> (� _ \ <br /> PLUMBER � �J. a t f�,� ` �-� COMPANY <br /> SIGNATURE Cr�,OC_ � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address J C�CJ v 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 /> 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 8�1 dumpster;Site Woric Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buitding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles 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 applicatlon,notarized <br /> If over 52500,a Notice of Commencement is requtred. (A/C upgrades over sT500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notari2ed letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />