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s�s-�sa-ao2a City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received .r <br /> Phone Contact for Permittin __ <br /> Owne�'s Name ( '�"C' G{/�S O/)S Owner Phone Number �O 0 ��J'z � <br /> Owners Address C��ys l(y s�/ Owner Phone Number <br /> Fee Simple Titleholde�r Name —� Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ,��5 � � S� �� �j,-�.��f Y-'t_. .3�S� Z LOT# � <br /> SUBDIVISION PARCEL ID# ��-2.�-Z -CX�/O-,Z��{O�•-4�1�0 <br /> (OBTAINED F�R�OM PROPERTY TO nce)DEMOIiSH <br /> WORK PROPOSED NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR [� COMM [-� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK �y �C �°,�C� <br /> � r <br /> BUILDING SIZE �Q FOOTA(3E �3(Y/ , � HEIGHT �� <br /> QBUILDING $ � �D� � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMPSERVICE Q PROGRE ENERGY�[� '`ig(.R.E.C. <br /> OPLUMBING a �'�. <br /> QMECHANICAL $ VALUATIO � � � `� <br /> N OF MECHANICAL INSTAL TION � <br /> � <br /> QGAS Q ROOFING Q SPECIALTY �� OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � � - COMPANY e �'JCe <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address S r Q t L/?J License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISrERED Y/ N FEE CURRE� Y/N <br /> Address License# �- <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTEREO 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 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,ConstrucUon Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facflities 8 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 constructlon. <br /> ,,,�����r����,�����,���...� <br /> r�.0�aa.u.a��� <br /> Directions. <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicatlon,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 owne�authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of AppUcation 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 />