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8�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiw�ed -� ��'`� � � 3 �Ja __`��o�v <br /> Phone Contact for Permittin <br /> 1 -��,.� <br /> Owner's Name l.-Q � � l�J,(3��.5 ��� � Owner Phone Number <br /> Owner's Address �4��� i ` '�1 C� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS _�#� '�\���� Z�. �(h�,,S , 4' L LOT# �1� <br /> SUBDIVISION � PARCEL ID# �y- a�-�� - W�o-- cz�cx� -3�ac� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � 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 `�5���` ��j S��'L( I�n� <br /> BUILDING SIZE �- � Sq FOOTAGE� HEIGHT �� <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> ��'•� <br /> QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q 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 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER ���,`����� ��.Sti`..�-� COMPANY y,eClR\S ����\(�(�(\`�� l�C... <br /> SIGNATURE REGISTERED N FEE CURRE� N <br /> Address `�1�U ���h 5�. Z. h���S, E'(_ 3�j5L�� License# ��'L 1y�5�'(�c� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 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 Buflding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aRer submittal date. Required onsite,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaGlitles 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 construction. <br /> Minimum ten(10)wo►king 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 constructlon. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 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 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 ii shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />