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s,s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received Phone Contact for Permittin -- <br /> � f r' �` � i <br /> Owner's Name /1 /� � ` Owner Phone Number ( � ✓ � u � � <br /> Owner's Address � � �'������ �� ��' � �T��� y'"�Wner Phone Number � <br /> �,:;<<, r <br /> Fee Simple Tftleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � � � �? 'h;J1� �L� 1 �' 1��"� LOT# � <br /> SUBDIVISION . PARCEL ID# <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � (n � /1 /rf/II �� � �'��'I �'/l �� 1 �� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � �7UYl <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLU BING $ ��� <br /> ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� � <br /> OGAS Q ROOFING Q SPECIALTY � OTHER �Z��j <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY I <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 /> [ �-�' r <br /> MECHANICAL ` /` , �� COMPANY �' �"�?!''� '`�� � <br /> SIGNATURE ���� / ' � REGISTERED Y/�N FEE CURRE� Y/ <br /> Address � " l �� � G'r N 1�� " ��5�1 � 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,Constructlon 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 Safery 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 57500) <br /> *• Agent(for the contractor)or Powe�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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />