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si3aao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 � <br /> . Building Department i <br /> • Date Recefved Phone Contact for Permittin - li <br /> Owners Name /'7 r"(S i! /-/i'J/� ,,��' �,�-e_:-�.s Owner Phone Number �/,3- �y3-�a�d I <br /> Owners Address ����� ���L���C� Lv Owner Phone Number I <br /> Fee Simple Titleholder Name ���.t rl �i1/1 �"�'�f"r`S Owner Phone Number � <br /> n �� <br /> Fee Simple Titleholder Address ���� � /u��� �p���S�'�� <br /> JOB ADDRESS S�`�-E-Z � �� �-� LOT# � `�� <br /> SUBDIVISION PARCEL ID# ��-�G ' o�� • O O(Q ,/-3�O d ' Q Q��' <br /> � (O@TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR i <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> �7 � �^ q � <br /> DESCRIPTION OF WORK ��t L C I'�c�� p'U � J i U r► ` ! <br /> i � L�L <br /> BUILDING SIZE SQ FOOTAGE i�ya � HEIGHT � <br /> 11 11 1"1 1 1 1 1 1 1 1 �1 ITrI n <br /> �BUILDING S VALUATIONOFTOTALCONSTRUCTION <br /> DELECTRICAL $ � � AMP SERVICE � 0 PROGRESS ENERGY Q W.R.E.C. <br /> �ECHAN CAL $ • b G VALUATION OF MECHANICAL INSTALLATION � � ��� <br /> �• <br /> QGAS Q ROOFING Q SPECIALTYI� OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � � � <br /> i <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address I License# <br /> � I � <br /> ELECTRICIAN (`\�� COMPANY ►S � �, <br /> SIGNATURE �� REGISTERED Y/ N FEE RRE� Y/N <br /> Address lJ � L(� � U� �License# .a � � <br /> i <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Address License# <br /> MECHANICAL � � � / COMPANY fuQ�'T��� �C rUL '�S <br /> SIGNATURE � f Q�/\.2 REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTFRED Y/ N FEE CURRE� Y/N <br /> Address i License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIilllllillllllllllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o(Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(�0)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 Ariach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit tor new construction. <br /> Minimum ten(10)working days after submirial date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Facitities 81 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Pians. <br /> ""PROPERN SURVEY required for all NEW construction. <br /> Dlrectlons:• <br /> Fill out application completety <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone wiih notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivaways-Not over Counter if on public roadways..needs ROW <br />