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s�3-ieo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> � ,. <br /> _,�. ,��. <br /> Date Received �--�" ~ Phone Con t for Permlttin -- <br /> Owner's ame -��1� v j�`' c' ✓✓ Owner Phone Number <br /> Owner' Address �� �� b � � --s� - / �- <br /> Owner Phone Number <br /> Fee Simple Titleholder ame Owner Phone Number <br /> e__..._.._.__._. _ <br /> Fee Simple Titleholder Addres � � <br /> JOB ADDRESS �Co ( I r �� S'f �Z C I,i y� �� � <br /> LOT# �� <br /> SUBDIVISION RCEL ID# -Z� -Z�'� d �1 �- ��S U � c�C�,S?l <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK C>� 6� G✓ S'��H j{ L,/ 2 � �R� f C-o t � � �(y V' �� f� <br /> BUILDING SIZE 3Q FOOTAGE� HEIGHT � <br /> OBUILDING $ � � u v VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QP�UMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRtCIAN � 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 /> � �' <br /> OTHER � COMPANY L�� �-�G�-i�� , <br /> SIGNATURE � � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �� ( � ���r ,�% �7J�, ,o �/3 3 G (p license# ��C d� 7��7 <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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence i�stalled, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Permit for subdivislons/large projects <br /> COMMERClAL Athach(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 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 /> '""•PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over E7500) <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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />