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a��-�so-oo2o City of Zephyrhills Permit Application F�-a��-�aaooz� <br /> _ . Building Department <br /> Date Received g -7 a-T T�/ 1 - G��I <br /> Phone Contact for Permittin T eJ <br /> . r� rrrrr�- -- - -- -»-�� <br /> Owner's Name E�r /�l� Owner Phone Number (� � ' � pr"Jo��� <br /> Owner's Address ��� (�O �..QWl,$ �V�' Owner Phone Number <br />� Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08ADDRESS � IVJI C �Q. ��S � �� ���� LOT# ��V <br /> SUBDIVISION QC�.I�G� D/t/Z�✓�S pARCEL ID# �T �2✓�2� — ���Q � Q�����22� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTAIL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIONOFWORK C. �Qra. ou� �'S � I�� LL /-f 8K� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> �MECHANICAL $ �Gi/O.pp VALUATION OF MECHANICAL INSTALLATION <br /> 0`-t <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License it <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL � \ COMPANY � • �`1A <br /> SIGNATURE �`\ REGISTERED Y/ N FEE CURRE� Y/N <br /> Address \ �" �� � License# ��� D`�P� ,AJ <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> Illllltlllllllllllllltllllltltlllllllllllltllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construclion, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies R 1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)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 afler submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Woric 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 conslruction. <br /> Directions: <br /> Fill out application compietely. <br /> Owner&Contractor sign back of apptication,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for lhe contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contracl required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not overCounter if on public roadways..needs ROW <br />