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a�s-7ao-oo?o_,_ . . , _ City of Zephyrhills Per.mit.Application Fax-813-780-0021 <br /> ' ' � Building Department ' � <br /> ' . , � <br /> Date Received � �� �C-f plione Contact for Permitting , �� �0 - �� `� <br /> —rrrrrrrr — fTT�� . ,\ <br /> Owner's Name O �l. � e Owner Phone Number'" "�< � ��� U <br /> Owner's Address � (J� l� �1 �. ��Gt�l�s 33 Y� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS S�l �~6 l ?��°• �/L� [S �f �,���F LOT# � /� l <br /> SUBDIVISION �G7GL� d►'(L dh1 PARCEL ID# � '.� �� �l' D�YI� `D�GY� � '� D <br /> (OBTAINED FROM PROPERTY TAX NOl10E) <br /> WORK PROPOSED B , NEW CONSTR e ADD/ALT � SIGN � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL 0 <br /> �Ki iw� �/ _c <br /> DESCRIPTION OF WORK v (J�L�/`-`� �'CY t"!i!�b� rd Ol Lllf i"dDY� <br /> BUILDING SIZE �7 I � SQ FOOTAGE� HEIGHT <br /> "TTT�QTT'TI"1"I�T�TITf�T1�1TT�1TI�TIT7�T1�TT1�ITi�ITfTT�T1�TT�1� <br /> OBUILDING $���D,� ,\ VALUATION OF TOTAL CONSTRUCTION <br /> U <br /> '�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� � <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> -�-f-F-i-H�-H--�1-I--1-F-��1--1--F-1--1-1--F-t-1--1-1-1--f-l--E-��F�-1-�4-E-t--F-�--E-�--F-1--�-F-1--1-1--1--1-1--1--1-f-i-i-1-i-F-�-1-1-a-H+1- <br /> BUILDER l � �'�� ` COMPANY � Y� ��? � GC!�'` <br /> SIGNATURE �� `� REGISTERED Y/ N FEE CURREN Y/N <br /> Address .�L� � ��7e� /� • _�, ��� 3 �y� License# �7 � <br /> ELECTRICIAN • � �� � COMPANY ��"�h �/����/ G, <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address % l,� � �l�l���.i ,j�� License# J�d�Q� yy.3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN .Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> � � e � � � � � � � � � � to � � i � � � � � � i � � � � � � � � � � i � � i � � ti � � � � � � t � t � � � � � � � i � � � i � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&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 construction. <br /> .d--4.f..f-L-�..4.1--f..f-1..�-I..f..f-1..1-�1--t-1..1�4-{.J-�.d-f�-E-1-1-1-l-1..1-1--t-�i-t-I-f-f-1-1--{-�1-i..{-{.a..f-l..t-1.�-1-1-i-i-f..t-4-f-�f- <br /> Dlrections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />