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a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780.0021 <br /> Building Department <br /> Date Received ��� �-/3 Phone Contact for Permittin �/ J _ 7 7 �.� <br /> Owner's Name Owner Phone Number f - �� `/,�'�� <br /> Owner's Address 3 /�7�D�UL� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS A`1��1�*f U� ` LOT# �� <br /> SUBDIVISION C C ���,J• PARCELID* 3�' �'� �I �DOS "D� '��7v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP03ED B NEw CONSTR� ADD/ALT �� SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � s� � /�L/�eo� �j��L, % <br /> BUILDING SIZE SQ FOOTAGE O(/ HEIGHT J /��� <br /> DING $ ��7�„Q VALUATION OF TOTAL CONSTRUCTION <br /> ,�1�L1 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS EN C] W.R.E.C. <br /> .� <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI N F7 �� <br /> � ( � <br /> QGAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES <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# <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 � ,� �6r�,� COMPANY �e�0�'L� c..�G�.tJ�cvc��i",!�'rj <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address O � p�3�"��. �j,�Gs '�G . �.s" U License# 37 <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 Facllities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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 /> Directtons: <br /> Fill out applicatlon completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (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 Servic�Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />