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� 7 a�saeo-oozo • City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> �� �� z� <br /> Date Received . �— � <br /> Phone ContactforPermittin <br /> Owner's Name � lZ S �nr� Owner Phone Number <br /> Owners Address v x �Y� �� JQr1 f1�i1�U 1 Owner Phone Number � <br /> Fee Simple Titieholder Name ��� Owner Phone Number tl` �'` <br /> Fee Simple Tideholder Address <br /> JOBADDRESS lD��`� IU, CQ�� �1iC' �Q. �Y ��11S r�"' 33S`'� ` LOT# �U10 <br /> SUBDIVISION �J `� PARCEL ID# V )' �-�� -U`���- �ag' (�- d��O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSfR B ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL 1� � <br /> DESCRIPTION OF WORK l h�� �'J"r` U I V`� VI� til) Q�1� � c 1�- � LC� <br /> BUILDING SIZE ���S�IYL SQ FOOTAGE �X� �� HEIGHT X ��. <br /> BUILDING $ /�/�� VALUATION OF TOTAL CONSTRUCTION <br /> UL /� <br /> �ELECTRICAL $ l' I\U l\ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. / <br /> V U , / / <br /> 1/ / <br /> QPLUMBING $ � / �,/ ,� <br /> � .I_ �U�'✓ <br /> ''�J—!i� � �} ��y� � �— <br /> QMECHANICAL $ 1A yy VALUATION OF MECHANICAL INSTALLATION � /1 L11 /� v y� � <br /> Y' I� �n ' ' v /�,,,�I,3./,1✓ <br /> QGAS Q ROOFING Q SPECIALIY '(/ C�� `�"�... a,�,� <br /> 0 OTHER <br /> � ..T,� <br /> FINISHED FLOOR ELEVATIONS '/� Vl FLOOD ZONE AREA QYES NO �t <br /> v� f� <br /> BUILDER / I �� 6'OMPAN� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �s ��� ,5 <br /> ELECTRICIAN �OMP Y <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERFD Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building 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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Buiiding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for aII 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 /> Directions:' <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$7500) <br /> " Agent(for the contractor)or Power of Attomey(for lhe owner)would be someone with notarized letter from owner author'¢ing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveways-Not over Counter iT on public roadways..needs ROW <br />