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s�a-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permittin __ <br /> Owner's Name � S7 ��l -v.."E"C�2r� Owner Phone Number <br /> , � � � -� <br /> Owner's Address `� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee 3imple Titleholder Address <br /> JOB ADDRESS � (;�C] �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROOM PROPERTY T�rice)DEMOLISH <br /> WORK PROPOSED B NEw CONS7R 8 ADD/ALT [_] SIGN <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 _��'1ti rj C( �� � J ��O .,�.y�� ��,�,��r I <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� <br /> QBUILDI G $ � VALUATION OF TOTAL CONSTRUCTION <br /> ELECTRICAL $ � � i� AMP SERVICE [� PROGRESS ENERGY �] W.R.E.C. <br /> .� <br /> QPLUMBING $ <br /> MECHANICAL �-j � <br /> � $ VALUATION OF MECHANICAL INSTALLATION .�( �� I <br /> �GAS 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 �'�� �(q�. �j- � ��'C <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address C �- � 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# � -1 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � -� <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding 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 Ptans,Stonnwater Plans w/Silt Fence installed, <br /> Sanitary Fadlitles&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buflding 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 Permlt 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 construcfion. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over E2500,a Notice of Commencement is requlred. (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 Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />