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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> pate Rec�ived Phone Contact for Permittin 352 z�'� -- t�� <br /> Owner's Name i r r � Owner Phone Number �l 3 h � I 1�r 3 <br /> Owner's Address � � � � �� � �C � ✓��.L ! � Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J LOT# � <br /> SUBDIVISION PARCEL ID# — � � �G` 1 -'' �LG� • (� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALI REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BIOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ti" t c� w � �� ���b e �,�.� �� V��.5 �� �L,, +"� � v <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ �/J c/U VALUATION OF TOTAL CONSTRUCTION <br /> .�l I� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� <br /> ��'_ L ��� ^ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATI N � a�� � <br /> � \ <br /> �!� L�.ew�-'J <br /> QGAS Q ROOFING Q SPECIALTY � OTHER � � �g,C <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��'Z I <br /> BUILDER � � COMPANY �LL 1����;r- L <br /> SIGNATURE J REGISTERED Y/ N F CURRE� Y/N <br /> Address � � l'"I 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 /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Piot 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGliUes 8�1 dumpster;Site Work Permit for subdivlsionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuctfon�lans,Stormwater Plans w0 Silt�ence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '"'"PROPERTY SURVEY requfred for all NEW constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Ovmer 8 Contractor sign back of applicatlon,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 owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (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 />