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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Building Department <br /> Date Received �� - �-/� � /�� --D <br /> Phone Contact for Permitting_ ��/ <br /> -��-�-ITI 1-�- ---- -------�-ITI 1 Q - --- -- <br /> Owners Name — p�/� " � � Owner Phone Number C��v � v ^ /� � <br /> Owners Address d� c � a nff�/j,� Owner Phone Number ' <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (.�/ `+'- � ZC /� �/ S LOT# � <br /> SUBDIVISION SD7L` PARCEL ID# �.Z Z�v ���-(�DBQ—(.1�o2�C'�-D O(� _ <br /> (08TAINED FROM PROPERTV TAX NOTICE) <br /> WORK PROPOSED e NEwcON57R e ADD/ALT 0 SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER � <br /> TYPE OFCONSTRUCTION Q BLOCK � FRAME 0 STEEL 0 <br />' DESCRIPTION OF WORK g �la I C��ldi�! �O u� �'�7�/�-! � l� � <br />� BUILDING SIZE SQ FOOTAGE HE <br /> � IGHT � <br /> -r't"r'�-r-rTr-r'r'rrr'*�'r'r't"r-t^ r"r"r"t-r"r'r'r-'r-r�-r"r't'r r--*-r-r- <br />, �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ �J q�D p� VALUATION OF MECHANICAL INSTALLATION (/I / ��� <br /> /.C. � � �� � <br /> OGAS Q ROOFING � SPECIALTY � �OTHER <br />' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �� // C - <br /> f ( / <br /> -��--R-•�--•�-•--•--.-�H+t-• •.-•-:-:--:-�--1-;-�a-1-1�-�--HE+++-'r:--:--'-� •.-.��-�-•--•-•-•--•--•--•-�--F-F-F-F++�• '.++-+-:-�-�-�-i- <br /> BUILDER COMPANY <br /> I SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY - <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY �a`� ,r • <br /> SIGNATURE 1 REGISTERED Y/ N FE CURRE� Y/N <br /> Address �.� •�. (� � Q�/ � License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIII111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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;5ite Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1j set of Energy Fortns.R-O-W Permit for new construclion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed. <br /> Sanilary Facilities d 1 dumpster Site Work Permit(or all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruction. <br /> . . . �,4„��,,a.N.y.�_. . • 1-�-.�-+.-4-�--�-+_�-a-1-.1_1-�-.f-i�-. . . 4i,y_�. . <br /> Directions: <br /> Fill out appiication 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 /> " Agenl(for lhe contractor)or Power of Atlomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMII'fING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/SurveylFoolage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />