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s�3-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' _ Building Department <br /> Date Recelved � `� ' — (y��3 <br /> Phone Contact for Permittln ��Z.. ��t �� <br /> Owner's Name ��J1� � ��' (� Owner Phone Number �, —�1�JLZ�b <br /> Owner's Address ���p�5 �C�U..`�'� �,� Owner Phone Number ��� -�� o —��Q� <br /> Fee 5imple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS D �.0�� ��u��I� A\f-� LOT# C� <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED F_R�OM PROPERTY T�rice►DEMOLISH <br /> WORK PROPOSED B NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK �\J(�L C_ 0 a -� �� h��} ��� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLU G $ <br /> / . � <br /> ECHANICAL $ � G VALUATION OF MECHANICAL INSTALLATION ' � � <br /> `, 1 <br /> �GAS � ROOFING � SPECIALTY [� OTHER y} � � (� �7i <br /> r� � 1 <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 COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � ` 1 COMPANY ^ <br /> SIGNATURE �f �(,' tL _ ; �.�� �'�-` �!C.�S <br /> REGISTEREO Y/ N FEE CURRE� Y/N <br /> Address License# _ ,�1C, <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <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 Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsflarge 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 requlred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&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 if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />