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s�3aso-oozo City of Zephyrhills Permit Application Fax 813-780.0021 <br /> Y Building Department <br /> Date Recelved �Phone-ConYsct-for Permittln — <br /> Owner's Name 0 l Owner Phone Number � �s��—C�C'� <br /> Owner's Address �J��Z3 I�r v� y/�ls `�l ' �+ l�i(( Owner Phone Number - <br /> �C. 33��l/ - <br /> Fee Slmple TI4leholder Name Owner Phone Number <br /> Fee Slmple Tltleholder Addre�s <br /> JOB ADDRESS lO� T� 1° `� / , / �C �3SYZ LOT# � <br /> � <br /> SUBDIVISION " � PARCEL ID# <br /> ' I (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED:USE � SFR Q "C011AM � Q OTHER <br /> TYPE OF CONSTRUCTION • Q` BLOCK ""�Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK '1".Q/l0/ �Q/l/)� ( � �I(���/ ° � <br /> BUILDING SIZE SQ FOOTAGE�, HEIGHT . <br /> i <br /> QBUILDING $ [�6O ` � , ALUATION OF TOTAL CONSTRUCTION <br /> �LECTRICAL $ �� p ' V AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C. <br /> � �� � ��------� - <br /> �[�'�LUMBING $ 'Q f� �V � ��. <br /> v v �� - 1 . <br /> QMECHANIGAL $ VALUATION OF ECHANICAL INST TION ��,(�`S � � <br /> � �T Z.i�Pif� <br /> QGAS . Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPAN�Y <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N _ <br /> Addreas �I License#�� ' <br /> ELECTRICIAN COMP� <br /> SIGNATURE REGISTEt�ED Y/ N �e Cuw�E� �Y%N <br /> Address I License# <br /> PLUMBER COMP.A�IY <br /> SIGNATURE ,�GiSTE�EO Y/: N FEE CURRE� Y/N _ <br /> Address I ,License# <br /> MECHANICAI. COfHP,I <br /> SIGNATURE � REGISTEr eo Y/ N �e cu�ten Y/N <br /> Address � I L(cense# <br /> OTHER COMPA�IY <br /> SIGNATURE � � rtEGISTERE� Y/ N.. FEE CURRE� Y/N <br /> �d�� � I License# <br /> � <br /> RESIDENTIAL Attach(2)PIot.Plans;(2)sets of:Building'Plens;•(1)set of•Energy�Fortn§;R-O-W Pertnit for new constructlon, <br /> .Mfnimum;ten(1.0)�working-days after.subrriittal date..Requi�ed-onslte;ConstFucBon Plans;Stormwater Plans w/Silt Fence tnstalled, <br /> Sanilery Facillfies.&�1,dum,pste_r.,Slte Work Pertnit.for subdivislons/large pro)eots , <br /> - - COMMERCIAL Attach(3)complete sets of Buildirig Plans plus a Life 8afery Page;(1)set of Energy Fortns.R-O-W Permit for new oonsUtiodon. <br /> Mfnimum•ten(10)working days'after submittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanita.ry FacfliUes&1 dumpster.Site Work Perrnit for all new'projects.All commercial requirements must meet compllanoe <br /> SIGN PERMIT Attacfi'(2)'sets of Erigineeeed�Pl'ans:,_ �� .�,_ -. � <br /> ••""PROPERTY SURVEY requirec!for all NEW constructlon._ ` � <br /> Dlrections: ' <br /> Fill out applicadon completely. <br /> Owner 8 Contractor sign back of appllcaUon,notadzed <br /> If over 52500,a Notice of Commencement is required. (A!C upgrades over 57500) -- <br /> '" l�qent(for tFie contr'actor)or Power of Attortmey(fo�the owner)_would be so�eone with notarized letter from-owner•authorizing�same""`�``"':.`.'"�` <br /> .-,.,. � f- <br /> DVER THE COUNTER-PERMITIING'=° �"(Front of Applfcation•Oniy)'"' � •. _ <br /> Reroofs If shingles Sewers ��� Service Upgrades A/C-•' °Fences-(Plot/Survey/Footage) `�, �. ,, - :`'� <br /> . •. ,..-.. : ; �, - �, . . . . !i . , ., <br /> Driveways-Not over Counter if'on public roadways..needs ROW". . . �. , ., - ,.__ , . .:��-- • • •� -- � <br />