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� <br /> s�sa8o-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> Date Received phone Contact for Permittin /Z� S 3 — �� -1 b <br /> Owners Name C- /-� C{ (; Owner Phone Number (J�,�J" 3SS'�(p�' <br /> Owners Address L 5�� /�C�{�.�a�� �'c. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS /� ��JI�-CN/ �..JO O� �� LOT# � <br /> SUBDIVISION UUI PARCELIDq O •Z�p•�I ' OD7D"DO�D -U17�� <br /> (OBTAINEO FROM PROPERTY TA7(NOTICE) <br /> WORK PROPOSED e NeW coNS7R e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q� OTHER �J <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK RC��C-� �� W I���il S S/tE' S/� M�N 'I��L 1 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $/ O �D U VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. <br /> QPLUMBING $ ���\�� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER E('lMPANY �01Y'(: �.']'LFOILMhl� '� A�-I.I A L <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEECURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> Illlllllltlllllltltlllllllllllllltlllllllllllllllllllllllllltttllll <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,Stortnwater 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 Fortns.R-O-W Pertnit for new construdion. <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 Pertnit for all new projects.All commercial requirements must mee[compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directlons:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Ariomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Oniy) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />