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e�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for Permittin <br /> Owners Name ~ `l�f 1l�:. � Owner Phone Number �J"�O�J'���1� <br /> 1� � <br /> Owners Address 'V• Y� ���~ � �3��'�� Owner Phone Number <br /> Fee Simple Titieholder Name "�— � Owner Phone Number <br /> I <br /> Fee Simple Titleholder Address <br /> J^ I <br /> JOB ADDRESS 4p l� S���-+A '.�+ �1^'n��1� �35Z� LOT tl � <br /> SUBDIVISION �IIA l��y PARCEL IDM ,����"bI��'v�CLC���J�(7 <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSfR� ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 • STEEL Q <br /> DESCRIPTIONOFWORK VG�Q �Sl ��'2A� +�" PLQ-�I(J IE� <br /> BUILDING SIZE S�FOOTAGE (�qO I HEIGHT ( � <br /> , �BUILDING $ VALUATION OF i OTAL CONSTRUCTION � ���(}�f U <br /> QELECTRICAL $ AMP SERVICE � Q PROGRESS ENERGY Q W.R.E.C. <br /> i <br /> I <br /> QPLUMBING $ � <br /> °� p S'- 2 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION CIQ <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> � <br /> BUILDER �( O ANY �, ����CE.r��� S�ar, L" <br /> SIGNATURE ✓� EGISTERED Y/ N FEE CURREI. Y/N <br /> i �,/p <br /> Address 317�5 � wt Z���� License# � 12�f U Y J <br /> ELECTRICIAN COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> i <br /> Address I License# <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y/N <br /> Address i License# <br /> i ' <br /> � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> i <br /> Address I License# <br /> I <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address I License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �IIIIIIIIIIIIIIIIIIItllllllllllll <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 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety�Page;(1)set of Energy Forms.R-O-W Permit for new conslruction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence inslalled, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attach(2)sets 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. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for lhe owner)would be someone with notarized Ietter from owner authorizing same <br /> i <br /> OVER THE COUNTER PERMITTING (Front of Appiication Only) , <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW I <br /> i I <br />