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s�s-7ao-oo2o City of Zephyrhills Permit Application Fax-813-780-00 <br /> Building Department <br /> Date ReceiVed 1 �/� ��� _ ���� <br /> Phone Contact for Permitting <br /> �� ) . J <br /> Owner's Name `.-i�'�^ C._ ��s ��/ Owner Phone Number �/ ����� � <br />� Owner's Address ����� ��� S J^ Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phane Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J� �J �fi� S / LOT# � <br /> SUBDIVISIOfd , PARCEL ID# � `�`� '�� �����^�J I���� lJ <br /> (OBTAINED FRaM PROPERTY TAX NOTICE� <br /> WORK P620POSED NEW CONST ADD/ALT 0 SIGN Q Q DEMOLISH <br /> �' INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK � � � �rl�'� -C'., ��G C, /"\ ( I� I �� X �E� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $� �7� / VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> [�PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �v` � <br /> � � , <br /> OGAS Q ROOFING � SPECIALTY � OTHER � <br /> I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �c�� � <br /> �� /";1��Ct�/- - <br /> BUlLDER COMPAMY - -— - -— - - - <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 /> I Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHAIdICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> OTHER COMPANY <br /> SIGNATURE FtEGISTERED Y/ N FEE CURRE� Y I N <br /> Address License# <br /> RESIDEtdTIAL 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 8 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COIVIMERCIAL Attach(3)complete sets of Building Plans plus a Life 5afety 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.5ite Work Permit for all new projects.Ail commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. ' - <br /> • "*""PROPERTY SURVEY requlred for all NEW construction. <br /> DirecBons: <br />� Fill out application completely. <br /> Owner 8 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 />