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8�3-�eo-oozo City of Zephyrhills Permit Application ,�,'/� �3��ax-813-780-0021 <br /> Building Department <br /> Date Received "��•— ' � — <br /> Phone ontact for Permittin __ <br /> Owner's Name / / �S � Owner Phone Number '�� ��f �s� <br /> Owner's Address / Owner Phone Number C <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS , LOT# �1-�J <br /> SUBDIVISION �_ PARCEL ID# (�Z� Z(p—ZI—��jo-„U�Z OO^(� � (,� <br /> (OBTAtNED FROM PROPERTY TAX NOTICE) <br /> 1NORK PROPOSED B NEW CONSTR 8 ADDlALT � SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE [� SFR [� COMM [� OTHER �T o <br /> �SC�/�. <br /> TYPE OF CONSTRUCTION Q BLOCK � FRAME �� STEEL � <br /> DESCRIPTION OF WORK E � <br /> BUILDING SIZE �S � p��• y ] SQ FOOTACs � <br /> HEIGHT �� <br /> UILDING $ <br /> � ��v LUATION OF TOTAL CONSTRUCTION <br /> �E'LECTRICAL $- AMP SERVICE � <br /> j� PROGRESS ENERGY Q W.R.E.C. <br /> QPIUMBING $ �/��1 f <br /> /- <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � � <br /> SIGNATURE � COMPANY ,G� <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> �� License# —� <br /> r <br /> ELECTRICIAN OMPANY r/ � ,(� <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 Ucense# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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)woticing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects <br /> COMMERCIAL Attach(3)complet�sets of Building Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuction Plans,Stormvwater Plans w!Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster.Site Work Permlt for all new proJects.All commerciat requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> """PROPERTY SURVEY requ(red for all NEW construcNon. <br /> Directtons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement(s required. (A/C upgrades over aT500) <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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />