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%� °�J-,°�-���� Gity of Zephyrhills Permit Application Fax-813-780-0021 <br /> % Building Department <br /> , Date Recelved ,_ a p <br /> �� Phone Contact for Permitting 0 �,3 p �j�✓ _ 7��v <br /> Owner's Name )$ s -�//1 n <br /> Owner Phone Number <br /> Owner's Address �o�.�,7 �5 I(,t h� �/�, • 2{ {�/'�S 5T�py�ner Phone Number <br /> Fee Simple Titlaholdar Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS oZO 5 I'l r(.u'+G� (( LOT# � <br /> SUBDIVISION � �, {/�; T PARCEL ID# �,j�a�'�I �aQ.S� `Qa('00— Da��� <br /> (OBTAINED FR�OM PROPERTY T�riCEl DEMOLISH <br /> WORK PROPOSED NEW CON57R ADD/ALT � SIGN <br /> INSTALL B REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK �!�/ d'�-�Sh�n`��,f �r�5�e I� nYcd j7�t�a��Do�/,� <br /> BUILDING SIZE SQ FOOTAGE r_� HEIGHT <br /> �]BUILDING $ � /S� <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY <br /> � W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� ��� <br /> QGAS � ROOFING a SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER , <br /> SIGtVATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> I ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br />� PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ M FEE CURRE� Y/N <br /> Address <br /> License# <br /> M ECHANICAL <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> OTHER ��/ <br /> SIGNATURE � au��!ij" �(�....�`� - COWIPANY /� I-t �Own �0 �„ � C <br /> REGISTERED / N FEE CURRE� Y/N <br /> Address � Q h /,' � ��.��s ,G� 3 3sY �,� <br /> License# �7D <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Faciiities 8 1 dumpster;Site Work Permit for subdlvisionsAarge 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 consUuction. <br />,�__ Minlmum ten(10)working days after submittal date. Requtred onsite,Construction Plans;Stortnwater Plans w/Silt Fence installed, <br /> - oaritary�Facilfties a'i uuniasier.-Sii�Y1Turk:Fcrrnif�or-aii�aw projects.Ai;�,or�imeioia�7equirements must meef compliance - <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. - - � --_ -� <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over a2500,a Notice of Commencement is required. (A/C upgrades over a7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> DVER THE COUNTER PERMITTING ,. (Front of Application Only) <br /> Reroofs if shingles Sewers ; Service Upgrades A/C Fences(PIotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROVV � <br />