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- s�saso-oozo _ . City of Zephyrhills Permit Application Fax-813-780-0021 <br /> • . , B'uilding Department <br /> Date Received �. ` ' . � , ,� - ' • I - �3 . . ' � .`:t', <br /> . • � � �- Phone Contact for Permitting <br /> �rrrri-rr . � J"_ - nTl � ; <br /> Owner's Name t #(�;la C�y���� �f�����4���' Owner Phone.,�Jumtier ��-a sa -'�-:��•:=d,y. <br /> I ''SY (� <br /> Owner's Address (� �C(.I (�P_ 'ZYL� "L- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS CL I CtG�I r. LOT# L=!—� <br /> SUBDIVISION � `P (��bL PARCEL ID# � - �(,��t�- � Q�oZO"� OC�D�— �J� U <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK � lJ�� I T I r � / � <br /> BUILDING SIZE Ol,� � � SQ FOOTAGE '70�-D HEIGHT <br /> Tr'TTrrTTT1�1"ITTI"ITT�TTr�R'TTrITTTT�ITf rITTT�1TrTTrr <br /> OBUILDING $���bA,� �S VALUATION OF TOTAL CONSTRUCTION <br /> U <br />� �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> ;Z <br /> �PLUMBING $ ���� r <br /> �,1,('�t/ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> ,� <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> -a--f-1--�f--1--f-t--1-1-1--1-F-�'�1--1-1-FF-�1- F-�--1-1--�1--1--1-F-f--1-1--1-1--1--F-1-1--�I--{-1--f--f-1-1--F�1--HH4-f-1-1--1-1-1-�1-1--1-1--HI-1- <br /> BUILDER ��OMP Nv� �V4'1 l.l�Y1F� <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN � COMPANY YYLL°U (,lI YL p � <br /> SIGWATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> PLUMBER COMPANY <br />' SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL �I COMPANY C�M-�d w n P� <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 /> IIIIIt1I11t11Itt111111111 't111111111tIttt1111111111111Ittllllltlltlt <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,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 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,Stormwater Plans w/Silt 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 /> .i-1-I..�I..I..t-1--la-L.�-1--4�I..4.�1..�1..1-1-f..��-1..1-1..4-1-1..1..1-4.�-f..f..1-1..1-L-I..f-f..��4-I�I..��f••l-1..1-1-1--I-1-1..1-1-�i�.l� <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />