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s�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date ReCeived t. � Z►�2. _ <br /> Phone Contact for Permitting �� C� <br /> Owner's Name �����T T /i s FG/3!3 Owner Phone Number ��� — 7o b � !a7/ <br /> Owner's Address 3��� ,� Owner Phone Number <br /> Fee Slmple Tttleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �/�� �.LL� )7)OL�i �K ��� � LOT# � <br /> SUBDIVISION PARCEL ID# �� �� d� ��(�t� �I�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR�ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �/!�/DI�L 4�/5�%�/!-��� � �/� f� � -- � �� D�� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> OMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION <br />� <br /> �D9� <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />�� BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> �> <br /> , <br /> ELECTRICIAN , COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � ` COMPANY �/P•S /��JA��jf}�� L°��, <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �(�Ld � �^�- <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minlmum 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 Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> - -- Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Santtary Facllities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br />' ""PROPERTY SURVEY required for all NEW construction. <br /> I�i �Irections: <br />� FIII out application completely. <br /> Owner&Contractor sign back of appNcation,notarized <br /> If over a2500,a Notice of Commencement Is required. (A/C upgrades over 57500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> �VER THE COUNTER PERMIITING (Front of Application Only) <br /> �eroofs if sh(ngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on pubBc roadways..needs ROW <br />