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s�s-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received ',� �( � " � /r� 2 I Phone Contact for Permitting � - S.� 7 TrfTfTTr , f-I�-� Owner's Name C. 'FL//S� �C UwI'1l Owner Phone Number ��7 "-� v - � � Owner's Address Co7� �arrce a • �S'� 13 3/o Owner Phorie Number � -- - - - Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �CO S� �QG(C ` fX D P� r'��G� f"I. �`r LOT# o? Y O SUBDIVISION q ,�5T1 G Da,�S PARCEL ID# �y"�G•�I� ODDl�� d0�Uv-�B�v (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e , NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK � 8�� d�� - BUILDING SIZE �X y� SQ FOOTAGE �� v HEIGHT Ti�TT�TTrrT�IT1�TTI�Tf�ITTT'rITITT�T�TITI�T�T�TITTT�TITf�1� �BUILDING $ yado.o� VALUATION OF TOTAL CONSTRUCTION 'QELECTRICAL $ , AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMI3ING $ �� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ) '�Qi�P � >�p�� GAS ROOFING SPECIALTY OTHER Uv _ � 0 0 0 0 � . �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO � I -�-1-F-i-F-1-f-d-1-�-1-�-F-a--f-t--l-1-i-{-1-f-i-f-�-l-f-{-1-HF-1--f-�t-E-a-t-�-�-1-I-1-f-1-1--1--I-H-t-t--f--1-1--t-1--H-H-a-i--1-F-1--I-f- I `� �/ �/� / BUILDER �""_ 7 ��y�� J "OMPANY �kS 1 Q.TC G LC!as/Y)Gl!�- SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address /,S�L/ /�i�� ia /�L -�i�i �S 33Syi License# ��D/7 � ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER - COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# IIII1111111111111111111t1 'IIIIIIIIIIIIIIIIIII11111111111IIIIIIIIIIIt RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construc8on. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Pertnit for all new proJects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "**`PROPERTY SURVEY required for all NEW construction. .a-.f-F-f-4.�--4-1--1-1-I..{-{-f..�1..1-I..1.-4.f..t-1-Ia..1�i..t..f-L-4.f�-{-4.f.�f-f.�1-i-{..1..1..1--i-I..f..f-f-�-i-L.�{�-f-a-4.1-i-f-1-a--4.�-f�-F-�f- Directions: Fill out application completeiy. Owner&Contractor sign back of application,notarized � if over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) •* Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW �