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s�s-�eo-oozc City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -_ ` <br /> �Owner's Name �' � in� . �a L i,�,ie Owner Phone Num¢er �� ""�/S`J O <br /> � I � <br /> C7� Owner's Address 5 71 - I y 57 e Owner Phone Nurt�ber <br /> Fee Simple Titleholder Name Owner Phone Nu�ber <br /> � <br /> Fee Simple Titleholder Addresa � <br /> � ` <br /> JOB ADDRESS LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED N TALLS7R 8 REPAIR �'] SIGN Q [� DEMOLISH <br /> PROPOSED USE SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q <br /> � DESCRIPTION OF WORK � LL � ( D � <br /> r <br /> BUILDING SIZE � 3Q'FOAiAGE d d HEIGHT <br /> �QBUILDING + $ 2 r, VALUATION OF TOTAL CONSTRUCTION <br /> � U <br /> QELECTRICAL �, AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ / <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l� �� <br /> � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA DYES NO <br /> �� <br /> � BUILDER �� � I�COMPANY L��2�~N�it./' <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� 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 /> MECHANICAI � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address license# �_ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Fadlitles 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 constructlon. <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 /> """PROPERT'Y SURVEY required for all NEW consUuctlon. <br /> Directions: <br /> Fill out appiication compietely. <br /> Ovmer&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 Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />