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s�saeo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 /����/j, <br /> r Bullding Department („�1 V9 <br /> ���� <br /> Date Received � ��` Phone Contact for Perm(ttin <br /> Owner's Name � ,.s " CS� I Owner Phone Number <br /> Owner's Address � l� l�l Owner Phone Number <br /> Fee Simple TiUeholder Name I Owner Phone Number <br /> I <br /> Fee Simple Tideholder Address I <br /> JOBADDRESS �-1U' �`� I I LOT� � <br /> SUBDIVISION PARCEL ID I - - - 1- ��1 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R� ADD/ALT Q SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br />� TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br />� -FSrS s/,ry/ tmiry9 " c1rH���,,,A/Pi1" -t'fJl1 /�t y� s�.��c �}rtst� 4 rcfirlC� <br /> DESCRIPTIONOFWORK s>�f�// 1/�(,�M/ta4��✓ Cat'+cluy '5�C� fc�rK k�r�..�fi�ia v-Ccma��cf fo FK�'s7�-: 4'�tc�i-tG. <br /> BUtLDING SIZE � / , �jp�� SQ FOOTAGE K3 O 0 I HEIGHT n/ / <br /> �BUILDING $ g �/'`7 C� VALUATION OF TOTAL CONSTRUCTION <br /> o�• U <br /> �ELECTRICAL $�n `� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.���� <br /> li �(/�(/\ <br /> i <br /> QPLUMBING $ � ���I� � <br /> i (�' <br /> QMECHANICAL $ VALUATION OF MECHANICAI INSTALLATION � 1O� �'QQD� (� <br /> N I . ��,.Jl,'�1��'�'l <br /> QGAS O ROOFING � SPECIAL I � OTHER �� ���T�� CU'1�a� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZO i E AREA QYES NO � � u <br /> e I <br /> BUILDER COMPANY <br /> I SIGNATURE rtE�is�rtEO Y/ N FEE CURREA Y/N <br /> Address I Ucense# <br /> ELECTRICIAN �iy��/�/�� �COMPANY �I/�'?'1 -�c�Cl�l ��f/�"f� <br /> SIGNATURE �/' REGISTERED Y/ N EE CURRE� Y/N <br /> Address �J 5 y% �`�. /"i,Y h �°�io�yL,c f'f'f c� �7i�- License�t �� ;� )[� � � <br /> I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> � <br /> Address I License# <br /> I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> i <br /> Address I License# <br /> � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address I License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllll <br /> RESIDEIdiIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, <br /> Minimum ten(10)woricing days aRer submltlal date. Required onsite,Construction P�ans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facilities 6 1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(3)comptete sets of Building Plans plus a Life Safery Page;(1)set ot Energy Forms.R-O•W Permit for new construction. <br />' Minimum ten(70)working days aHer submittai date. Required onsite,ConsVUCtion Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facilitles&1 dumpster Site Work Permit far all new projects.All cammerclal requirements must meet compllance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requlred for all NEW constructio I. <br /> ,I, <br />' Dlrections:• <br />, Fill aut application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over SZ500,a Notice oT Commencement is requlred. (A/C upgrades over;7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with natarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMfTf1NG (Front ofApplicatton Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoNSurvey/Footage) <br /> Driveways•Not over Caunter if on public roadways..needs ROW <br />