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e�s-�eaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name T l�J` (� ���r1d►'� �G��'`�� S Owner Phone Number �13-39�-�dd� <br /> Owner's Address �� � �t � �Cg � 'C. Owner Phone Number <br /> Fee Stmple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS "—-K'lM� — LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTIOfd Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK G G�n � � �•s'�'�(1 �e�i�C�4 K (il! S�(i�/ �t 1 <br /> BUILDING SIZE 3Q FOOTAGE C� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �MECHANICAL V ° �� <br /> $ S �O O -Bo ALUATION OF MECHANICAL INSTALLATION �I � <br /> [ � <br /> QGAS Q ROOFING Q SPECIALTY � OTHER D ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COiIAPANY <br /> SIGPIATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> AAECHANICAL COMPANY /) I T�C{� A � �� � /�J'(�'�'1 L L C <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address �L� �'�l� `'�pq Sy License# ����� � �q�p <br /> OTFIER COMPANY <br /> SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# - - - - _ _ _ <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Mlnimum ten(10)woticing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliUes&1 dumpster;Site Work Permit for subdivfsions/large prajects <br /> COAAMERCIAL 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,Construction Plans,StoRnwater Plans w/S(It Fence installed, <br /> Sanitary Facilities&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 applfcation completely. <br /> Ovmer&Contractor sign back of application,notarized <br /> If over S2500,a Motice of Commencement(s required. (A/C upgrades over aT500) <br /> "a._„_Q�gen��{fo�the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> QV�RtTHB;COUNTEI3'PERNII.T,TING�'"'�.,: (Front of Application Only) <br /> �erqpfs,ifshingles,-,.,�.Sewers � ;;ServiceUpgrades A/C Fences(PIoUSurvey/Footage) <br /> t,. , <br /> � �'b�i"v�viiays�Nofove�iCouriter'if'om,public�roadways..needs ROW <br /> .�_....`':'':'..w:"':'...._,�'`;`.i:-�:.',�_,�.._..,.,_.:r'. "`:ar .�..... <br />