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a�aaeo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departrnent <br /> Date Received o��2�7���S 8� 3�S — ��95 <br /> Phone ContactforPermitting <br /> Owner's Name ��D�T �O L19`�y-� S�� Owner Phone Number v�9���5��7 T � <br /> Owner's Address ��O �M��A �T Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> � - <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS !�—S W I E�OA CT LOT# � <br /> SUBDIVISION ��� V�u�'!�i PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CoN57R B ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY v�—'���^/L � ( ZG/y�( <br /> SIGNATURE � REGISTERED Y/ N FEE CURREh Y/N <br /> Address G G ��/ �� ��� �//���1 G�� License# F C(�U� � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br />� RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new consWcdon, <br /> Minimum ten(10)working days after submittal date. Required onsfte,ConsWcUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FadliUes&1 dumpster;Site Work Pertnit for subdivisionsflarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsfrucUon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facili8es&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW consWction. <br /> Directions: <br /> Fill out applicatlon completely. <br /> Ovmer&Contractor sign back of applicatlon,notarized <br /> If over 52500,a Notice of Commencement is requlred. (A!C upgrades over 57500) <br /> •• Agenl(for the contractor)ar Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI7TING (Front of Appiication Only) <br /> Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />