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s�s-iso-�ozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> '��, � � <br /> y Building Department � <br /> _ ,� ' J @ sc ccor,s�r�c�vh . covr— <br /> Dale Received ' I� ��2 <br /> ' Phone Contact lor Pe'mi[t�ng ' ( O a- -- O��,O <br /> 1 � � � 1 � � � <br /> `� Owner's Name r`'I�'�( I 1' )� C���� S Owner Phone Number <br /> Owners Address -'l � 3 C� L���� �. Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titlehoider Address <br /> JOB ADDRESS � V+� `�Y'�� � LOT ii � <br /> SUBDIVISION PARCEL ID# �� ��p �I �O 1 O 'OOl 00 Op�a <br /> (OBTAINED FROM PROPERTY TAX NOTICEJ <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL � <br /> DESCRIPTION OF WORK l � — ��U "` � � 1 �J �� � <br /> BUILDING SIZE SQ FOOTAGE (�p� HEIGHT � 7� /`v�a� / <br /> �BUILDING $ /O�Or VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY O W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � / � LJ� L- <br /> � l <br /> �GAS � ROOFING Q SPECIALTY � OTHER �� v� <br /> FINISHED FLOOR ELEVATIONS ' FLOOD ZONE AREA �YES NO <br /> BUILDER `� COMPANY �A�� C G� �� {(�GCJ"r'1 � <br /> SIGNATUR 'I REGISTERED Y/ N FEE CURRE� Y/N <br /> Address p �� IV�I �� ,3�� � License# �GGQS�j ,3� <br /> ELECTRICIAN - COMP,KNY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License if <br /> PLUMBER COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURREA Y/N <br /> Address� License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N � FEE CURREA Y J N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGiSTERED Y! N FEECURREA Y/N <br /> Address License� <br /> 1 1 1 1 1 1 ! 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 I 1 I 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 <br /> RESIDENTIAL Attach(2j Plot Plans;(2)sets of Building Plans;(1]set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum len(10)working days after submitlal dale. Required onsite�,Conslruclion Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies 8 1 dumpster;Site Work Permit(or subdivisions/large projects <br /> COMMERCIAL Altach(2)complele sels o(Building Plans plus a Life Safely Page;(1)sel of Energy Forms.R-0-W Permit for new conslruction. <br /> Minimum ten(10)working days after suhmittal date. Required onsite,Conslruction Plans,S[ormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpsler.Site Work Permit lor all new projects.All commercial requirements musl meel compliance <br /> SIGN PERMIT Attach(2)sets ot Engineered Plans. <br /> ""PROPERTY SURVEY required(or all NEW conslruclion. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letler trom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contracl required) <br /> Reroofs i(shingles Sewers Service Upgrades A/C Fences(Plol/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />