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, � a�a��so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permitfin �� �O� — a'� <br /> OwnersNeme T/9� l.� OwnerPhoneNumber D��' S"l�.3J� <br /> Owner'sAddress 1f�f� �g 4e�. / l�L-OwnerPhoneNumber <br /> Fee Simple Titleholder Name /v Owner Phone Number <br /> Fee Simple Tifleholder Address <br /> JOBADDRESS O VJ D � � LOT� � <br /> SUBDIVISION I� PARCEL ID� ('�� � � � ` � �V�'� V�� <br /> , (OBTAINED FRON PROPERTY TAX NOTC� <br /> WORK PROPOSED NEW CONSiR ADD/ALT Q SIGN Q � DEMOLISH <br /> e INSTALL e REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTiON Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK (! <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING S 2 r,��,13 VALUATIONOFTOTALCONSTRUCTION <br /> J `f <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ \n� <br /> 1b .,, <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY � � <br /> SIGNATURE aECisr�o Y/ N �cu /N <br /> Address ( � � License# �..�-V)O/� <br /> ELECTRICIAN COMPANY <br /> SIG[dATURE r�cisr�o Y/ N �CuRREn Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE a�GiSTQtEn Y/ N �curu�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNA7URE ��ist�o Y! N �cur�n Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE t�GisT�o Y/N �cut�n Y/N <br /> Address License# <br /> � � � i � � � i � � � � � � � � � � � � � � � � i � � � � � � � � � � � � � � � � � � � � � r � � � � � � � � � t � � � � � � � � � � <br /> ' RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br />� MiNmum ten(10)working days after submftfal dffie. Required onsite,Construcdan Plans,Starmwater Plans w/SAt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Atlech(3)complete sats of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O�W Permfl far new cansWction. <br /> Minimum ten(10)working days after submittal date. Requlred ons'rte,Construction Plans,Stortnwater Plans w/SiN Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attech(2)sets of Engineered Plans. <br /> ••"PROPERTY SURVEY required for all NEW consVuction. <br /> Directions:• <br /> RII out applipUon completely. <br /> Owner&Contractor sign back of appfication,notarized <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over f7500) <br /> " Agent(for the contractor)or Power of Atlomey(for the owner)xrould 6e someone with notarized latter from owner authorizing same <br /> OVER THE COUNTER PERMITI'ING (Front of Application ONy) <br /> Reroois'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over CouMer if on pubiic roadways..needs ROW <br />