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s�aaeaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �J ��S'� phone Contact for Permttting �/,3 �.�� — �7� <br /> IOwner's Name cJKNO�-/1/j��Q-� Owner Phone Number c7 I.%� ��+7��`J� . <br /> O�nmer's Address �7�C�v �i�- f�!✓"� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS O IL L�G� LOT# � <br /> SUBDIVISION � .��G��.� PARCEL ID# .��'�.�'r�I' C�/�/O°—O dD0lJ -�fl�7O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VNORK PROPOSED B NEW CONST� ADD/ALT 0 SIGN Q Q DEMOLISH , <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TVPE OF CONSTRUCTION Q BLOCK Q FRAME � S7EEL Q <br /> DESCRIPTION OF WORK �p � �$`��/f�L�S /�J�� �'u�_�j,r3 .�- L <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ ALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ , ��bOti� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � r(�j CU�°' �-�-� <br /> �.../ <br /> _ � <br />� <br /> GAS ROOFING SPECIALTY � QG <br /> o � o o � � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO J �S[-I q��'�r <br /> � <br /> � <br /> BUILDER '�� COMPANY <br /> I SIGNIATURE REGISTERED Y/ N FEE CURRE� Y/N <br />� Address License# <br />'i ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> PLUIM�ER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> �►ddress License# <br /> MECIIANICAL COMPANY <br /> SIGR�ATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER , � � ������ COMPANY f/OGL' �e'/.`'� OQ�s�✓� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address O r� 02 ��CS�. � /'�L 33.5�� License# Cf—G(1��3 7� <br /> RESIDENTIAL Attach(2)Plot Ptans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Min�mum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for sutidivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety�Page;(1)set of Energy Forms.R-O-VV Pertnif for new construction.-- "- - - <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERflIIIT 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 applicallon,notarized <br /> If over SZ500,a Notice of Commencement is required. (A/C 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 /> OVER THE COUNTER PERMITTIMG (Front of Application Only) <br /> Reroofs if shingles Sewers��""`�,`'°Servicetipg�ades"N/C'���•�Fences(PIoUSurvey/Footage) <br /> ` �,'�,;;.-�,`��:-,` �=._ : �.�. :':: �. =• � <br /> Driveways-Not over Counter if on public,roadways..needs ROW <br /> � � .. . � , .._. . , ,. " <br /> �.; _ ... ._,:� ..,..�---�.-..-.,.._._e_.,_.... .�:i <br />