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�isaeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> DateReceived •'a'� � _ ��'/ <br /> Phone ConWct for Permitting <br /> Owners Name (1,C l � �J(�,( �..I I Owner Phone Number � �J �5 � <br /> OwnersAddress � �' OwnerPhoneNumber ��� ��O�7U <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS O D ► J.JQ ° LOT# � <br /> SUBDIVISION D< < /� ��ARCELID# /.)Z�O'��-t�17D" Uc2I� - vO S� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSiR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIP710NOFWORK E�l� O ��T � (J � "/��ASL'lJ�y�%�z /�LL//fi y 7 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� J <br /> � �b <br /> �MECHANICAL $ y$q5 0o VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> -1-' .�..�-r.-.-.�� 6-i-,1-:--r.�� <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y I N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURREA Y/N <br /> Address License# <br /> PLUMBER ���_�_'� COMPANY <br /> SIGNATURE �/ REGISTERED Y/ N FEE CURREA Y/N <br /> Address � License# <br /> / i i <br /> MECHANIC C ,� COMPANY �S. Q <br /> SIGNATUR� _ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��,� / J � ✓�Q L,� License# L'0 l <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111111 <br /> RESIDENTIAL Allach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Slortnwater Pians w/Silt Fence instalied, <br /> Sanitary Facilities 8 1 dumpster,Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion. <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 Pertnit 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 /> �' <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appiication,notarized <br /> If over$2500,a Notice of Commencement Is�equired. (A/C upgrades over$7500) <br /> " Agent(for ihe contractor)or Power of Attomey(for the owner)would be someone with noiarized letter from owner aulhorizing 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 />