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� �� � e�a-�so-oozo City of Zephyrhills Permit Application Fax-813780.0021 <br /> y < � ` Building Department <br /> * � t � <br /> Date Received �� (` <br /> Phone ContactforPertnitting <br /> Owners Name W `�\Ql�(Y\�mCJ1rMG �\ Q Owner Phone Number � —�ZU <br /> Owners Address � �1"r h T 1UQ.• Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> I <br /> Fee Simple TiUeholder Address ' <br /> JOB ADDRESS �7��l J� � VC�• LOT# � <br /> SUBDIVISION PARCEL ID# �' � �Zl V I Q ���U�—dU�v I, <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoN57R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK {� '� a,�, `Y} �W S — _ <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> TI"TTITTTITrTryTrrlTrT T <br /> �BUILDING $ '�,.��-y � VALUATION OF TOTAL CONSTRUCTION <br /> �� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ����� �� ' <br /> � � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER �� ya°`.'�� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � N� �, <br /> �:—^�...r..r�.-.—��...r...r� ' i• �F�.�.�.�..r...r�...r...r�..rF:�i.�F:—F:..r...r� <br /> • � � v <br /> BUILDER ✓ �COMPANY �� <br /> SIGNAT E REGISTERED Y/ N FEE CU REA /N <br /> dress � / ��!V License# <br /> ELEC7RICIAN 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> o � � � � � � � � i � i � � t � i � � � � � � � � � � � i � i � ei � ti � � i � � � i � ii � i � � � i � i � i � � � � � � � i � t <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsVUCtion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe 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,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Woric 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 /> -.�I��I�t—t..l—I..�I��I��I..�I..�I.a..l-1-�.-I..FFI..F�1�1-1—�I�f.a-�4-1..1-1..1..1—i-1-4.�4�4.I..f-1..��4-�1��1�1-�1— <br /> Directions: <br /> Fill out applicafion completely <br /> Owner&ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)ar 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 /> Remofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />