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ais-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received - �(,. ��/' / �� - `� C <br /> Phone ConWct for Permitting (�J - V <br /> 1 1 1 1 1 1 1 1 .. . I..f 7 i 1� <br /> Owners Name l: f� Owner Phone Number '/J � � <br /> OwneYs Address /, � J (— V f��s� �� Owner Phone Number �--� <br /> Fee Simple Titleholder Name Owner Phone Number �--� <br /> Fee Simple TiUeholder Address —� <br /> JOB ADDRESS �l�,� 0 ���S t l/�� LOT# [� <br /> SUBDIVISION �i�C�S.� (�%!I A j PARCEL IDk I(� ' �l� `�I 'OI�O'Gj��G�'Gk'.S� <br /> �OBTAINED FROM PROPERTV TAJ(NOTICE) <br /> WORK PROPOSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION �� BLOCK Q FRAME O STEEL � <br /> DESCRIPTION OF WORK �J9��'��C.���n�Z G'�;Jf' :�,� � S�S-�C'ily � <br /> �J <br /> BUILDING SIZE �--� SQ FOOTAGE ��" HEIGHT �� <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE O PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECtALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> E�ECTRICIAN � � R OMPERED Y/ N FEE CURRE� Y/N � <br /> SIGNATURE <br /> Address <br /> License# � <br /> PLUMBER COMPANY —� <br /> SIGNATURE REGIS7ERED Y! N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY ��,5 �/ �L <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address U� ��1+ �„I 5�T,l� „of���t�� License# �rft- V.� ��y <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# —� <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot 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 Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(i)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notanzed <br /> If over 52500,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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />