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s�3-�eo-oozo � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ` Building Department <br /> Date Received Phone Contact for Permitting O �3 7� �--�� � <br /> Owner's Name Owner Phone Number <br /> OwnePs Address TA Owner Phone Number <br /> Fee Slmple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 38735 9�. AVE �oT# � <br /> SUBDIVISION PARCEL ID# 11-26-21-0010-08100-1012 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> lMORK PROPOSED � NEW CoNSTR e ADD/ALT Q SIGIV Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 4' CHAIN L1NK FENCE WITH DRIVE GAT'E AND 2 WALK GATES <br /> BUILDING SIZE SQ FOOTAGE �/S�'T HEIGHT FT. <br /> �BUILDING $$2�3SO.00 VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q , W.R.E.C. <br /> QPLUMBING $ / �� <br /> 5,� `J <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER n� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � I l r� <br /> BUILDER � COMPANY PASCO FENCE COMPANY INC <br /> SIGNATURE �.�(� �'=— REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> $IGMATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUIM�ER COMPAPIY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGRIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGfdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <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 Pians w/Silt Fence installed, <br /> Sanitary,Facllities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng 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 Facitities 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 /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <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(PIoUSurvey/Footage) <br /> Drivewrays-Not over Counter if on public roadways..needs ROW <br />