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ais-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin -- <br /> Owner's Name �(7✓�^ f 9 �'l4`"` Owner Phone Number <br /> Owner's Address �O� 2 ���� �� ��>c;��j• !F'� ..� Owner Phone Number �_ <br /> Fee Simple Titleholder Name Owner Phone Number � —� <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � �O� ( � o �� -Sfi � Y L� � S I�" � 3 3�S Z LOT# � <br /> SUBDIVISION PARCEL iD# � � � 2"�° -Z f 'OL�I D��i�� ZO U- U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEI Q <br /> DESCRIPTION OF WORK �`"�" r"v W /T� �t� y�-J= %� "h- �i-Cr�! � <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT C� <br /> QBUILDING S � QD. `,�D VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ � ( �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ` <br /> QGAS [�] ROOFING Q SPECIALTY � 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 /> ELECTRICIAN � COMPANY <br /> SIGNATURE ReGis�Re� 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 /> OTHER ='�.._� �� COMPANY GC'�( ��tC �.� � <br /> SIGNATURE �`t REGISTERED Y! N FEE CURRE� Y/N <br /> Address 11�'vk f t� ��rK !¢n fou•y � 3S' (� License# C,C C �� 7 T`� <br /> RESIDENTIAL Attach(2)Plat 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 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 Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence instailed, <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 construcUon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs ii shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Oriveways-Not over Counter if on public roadways..needs ROW <br />