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s�a-�ao-oozo�-�� -< -. . . . , ,_ City of Zephyrhills Permit Application FaX-a�aaso-ooz� <br /> ' ' � Building Department: - , „ ., ,• ,, <br /> ' � ' �. , ., �,� � ., : � ? : <br /> Date Received , �� � � <br /> ' � Phone Contact for Perni�itting ��3 �`d.g � -��3�� <br /> -I-i-1-t-I-ITr � 1;:1�c���•�, <br /> _..r,. .,� . . � �� a a� - z�� - 3�� <br /> Owner's Name 'iS/�lLt S � rtl 'T I � Owner Phone Number <br /> r l�S <br /> Owner's Address 3 GI, �`f ;��Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address ' <br /> JOB ADDRESS J 3 � � I i'l � ��� r� LOT# �� <br /> SUBDIVISION � PARCEL ID# oZ Y - c� �o-� I ` O��D - �� -C�3� D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN 0 Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �C-1"C�Qt1- �D[7vJ'L ��-�1 D C V�'`@G\ �D�!2f' C.'171'iCT`�.fi� � S( � <br /> BUILDING SIZE 3 3 X a `{ SQ FOOTAGE 3 j � HEIGHT U <br /> TI�TITr'TfTI"ITI"ITTITI�T� 1'RTIT��TT�ATr�T�TTrIT1�19�T1�1� <br /> OBUILDING $ ���� a� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �v� �bo�3 <br /> `:/ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> -F-�-N-Ea-�-��+Fa- �-N-N-�-�-�-F-�-�-���-e-�-�-�-�-�-�-�-N-N-�-�-�- <br /> BUILDER i �C�MPANY � L°D W h'° � <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE 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 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIt11111111111111I11111111111111ttlllttlltl <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..L-1--1-f-1..1-1-1..�-1--�1-1--�1-1--1-1..1-f-1..1-��-1-1..1..1-1--I..F-1..{-{..��f--��f--�{--��1--{-1-f..��L.��L..l-L-1-f..1-1..�1..1-�� <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 Attomey(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 />