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s�a-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received ,6 �� / y Phone Contact for Permittin ��� / �2 – J��� <br /> Owners Name Z����S L(/�r+s C.v.t ��v Owner Phone Number g� ' 7� –� � <br /> Owner's Address •J T� �/ �� Owner Phone Number � <br /> Fee Simpie Titleholder Name � (7 ��� Owner Phone Number <br /> Fee Simple Titlehdlder Address <br /> JOB ADDRESS S� v1'1 L LOT# � <br /> SUBDIVISION �— PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSE,D USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK Q Q- � C�N T�i/ ` �y L <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING a <br /> MECHANICAL $ Z G VALUATION OF'MECHANICAL INSTALLATION s �D/- <br /> y �s �` � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� Z 7 � <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 � COMPANY CqL o y3 y 8 ��/1 S sJ?/�G�O 2,{�� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# AG 4 3p y8 <br /> OTHER COMPANY <br /> SIGNATURE 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 Pem�it fo�new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Fadlities 81 dumpster;Site Work Permit for subdivisionsAarge pro)ects <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,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Wo�lc 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 constructlon; <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 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 PERMI7TING (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 />