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a�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ���k'-- /� phone Contact for Permittln /✓ __ '7 J � <br /> Owner's Name �r/(�F' �Oy'�` a�' �"9��' Owner Phone Number <br /> Owners Address �OyfC1 /97 l /��'" Owner Phone Number � <br /> Fee Slmple Titleholder Name �` � Owner Phone Number � <br /> _---� ��/� <br /> Fee Simple Titleholder A�s <br /> JOB ADDRESS S�� ' �S G��I � �� LOT# �� <br /> SUBDIVISION PARCEL ID# �S �Z���q� '�1 7.L O ���"�',f� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> `-�....,_ <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT [� SIGN o o DEMOUSH <br /> INSTALL REPAIR <br /> PROPOS�D USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � /����' f���/ /rQ� <br /> BUILDING SIZE .� �v � s� SQ FOOTAGE HEIGHT �� <br /> QBUILDING $/S—�j �CQ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING a <br /> �]MECHANICAL $ VALUAT�ON OF MECHANICAL INSTALLATION � � ���j' <br /> OGAS � ROOFING Q SPECIALTY Q 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 Re�isrEReo Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y l 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 ��"t�� � <br /> SIGNATURE REGISTERED N FEE CURRE� Y!N <br /> Address 0 � � JrY �'^=r°f� �C(1 �i4r� � �� license# ��5 3,I s^ � <br /> RESIDENTIAL Athach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facllitfes 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)working 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 consVuction. <br /> Directlons: <br /> Fill out application comptetely. <br /> Owner&Contractor sign back of application,notarized <br /> If over i2500,a Notice of Commencement is required. (A/C upgrades over ST500) <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 />