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0��-�8U-���� Gity of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Recelved Phone Contact for Permitting — <br /> Owner's Name �A�L— �✓LG�U�'V Owner Phone Number �(�1�%��'�%i C� <br /> Owner's Address �� � � i-GX��'+v 1' �—� Owner Phone Number ��� ` ��'S` ��G� <br /> Fee Simple Tltleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �� I�G �G U PU•ICc� LOT# � <br /> 5UBDIVISION J LLV C� G,��[,S PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INS7ALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK� � FRAME Q STEEL Q <br /> DESCRIPTION OF WORK N�3 SZO��V Cc 'f Y j-�► 2 w�-n►p�c,�'•S �f} �� C_ �p C.�/�Q O�t1S <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> OBUILDING $ L,,�y�,�, VALUATION OF TOTAL CONSTRUCTION <br /> \.�AJ <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � vC 1 <br /> � <br /> QGAS Q ROOFING � SPECIALTY Q OTHER <br /> °INISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> 3UILDER � � � COMPANY ���L SC/C.GZU�nI <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> eLECTRICIAN COMPANY <br /> iIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Ltcense# <br /> �LUMBER COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address - License# <br /> �ECHANICAL COMPANY <br /> �IGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrass License# <br /> ITWER COt1�PANY <br /> �IGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ;ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Perrnit for,new construction, <br /> Minfmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacilfUes&1 dumpster Site Woric Permit for subdivisionsAarge proJects - - <br /> OMMERCIAL 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 /> Minfmum ten(10)workfng days'after submittal date. Required onsite,ConsUucBon Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanftary Facilitfes&1 dumpster.Site Work Pertnit for all new pro)ects.All commercial requirements must meet compflance <br /> IGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Irectlons: , <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaHon,notarized <br /> If ovar a2500,a Notice of Commencement is requlred. (AIC 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 /> VER THE COUNTER PERMITTING (Front of Application Only) <br /> eroofs if shingles Sewers Seroice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter(f on public roadways..needs ROW <br />