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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Receiveil �� ( �3 Phone Contact for Permitting `a��J �� -- �? <br /> Owner's Name � VL � Ow�er Phone Number � — '��— �cV� <br /> Owner's Address r�" S Z ��� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number�— <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS L T� ST- � �S LOT# �� <br /> SUBDIVISION � F Z ��j f PARCEL ID# ��-b ' 2 � '� � 0 ^�l l� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN [� MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> NPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL 0 OTHER <br /> DESCRIPTION OF WORK �,� l. Q� O�� ✓� S � S !'+�1 J--P-c ,I� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 <br /> Q PLUMBING ($ � ���`�, <br /> � � T <br /> � MECHANICAL $��� � � VALUATION OF MECHANICAL INSTALLATION <br /> � <br /> 0 GAS Q ROOFING 0 SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES QNO <br /> Q COMPANY /�"/0� Q/� i� /r l�—S�U ""��DS� <br /> BUILDER �— �,� � 1 T,er <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address �� "�O 7 �- I�}' S T t.LL 3 3S License# C � I 8� !�3� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> MECHANICAL _ �_ / ��_ COMPANY �U/ Qrt /Oi� ��3"SZ�-�� <br /> SIGNATURE �Gtv` (/` • l I�/L REGISTERED Y/ N FEE CURRENT Y!N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT 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&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 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$5000) <br /> ** Agent(for the contractor)or Power of Attorney(for the owner)would 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 /> Driveways-Not over Counter if on public roadways..needs ROW <br />