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s�3-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ,a a3 ,3 Phone Contact for Permittin ��> �'Y3 __16� <br /> Owner's Name �1/ � h�� Owner Phone Number <br /> � G�W/S �7 ���/ <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J s�l� !d�� � v� LOT# �� <br /> SUBDIVISION PARCEL ID# 1/�6 a oa� � ����� <br /> (OBTAINED FROM PROPERTY T�ICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT O SIGN Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK @ f`� e X�S�' � (S <br /> BUILDING SIZE G�X I l � sQ FOOTAGE C� HEIGHT <br /> QBUILDING �� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL �� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ) � � ��� � <br /> l�/ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY �] OTHER <br /> F�NISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY V�� CC%''S�'l�-���"� S(o�/�+� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� /N <br /> Address License# ��� ���( ��O � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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 Bufiding Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, <br /> Minimum ten(10)working days after submittal date. Requfred onsite,Constructfon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permft for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans p�us a Life Safety Page;(1)set of Energy FoRns.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 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 consUuctlon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of appHcatlo�,notarized <br /> If over 52500,a Notice of Commencement is►equired. (A/C 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 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 />