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e�aaeaoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received Phone Contact for Permitting <br /> Owner's Name C.1 n� 7 � i"P�►«S Owner Phone Number <br /> OwnersAddress J 3,.7 �1� �i . Z�����,5 ^ OwnerPhoneNumber <br /> Fee Simple TiUeholder Name ^ Owner Phone Number <br /> Fee Simple Titleholder Address ^ <br /> JOB ADDRESS D�� T��S�i�� �J� LOT# � <br /> SUBDIVISION `� PARCEL ID# (�'p�'�I "DN U:� 'D���Q��0�� <br /> (OBTAINED FROM PROPERN T/U(NOTIC� <br /> WORK PROPOSED B NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPEOFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Sib« L � �p� � I��� �uV 1 � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> �BUILDING $ VALUATIONOFTOTALCONSTRUCTION�'�1,`aCJ�J <br /> �ELECTRICAL $ AMP SERVICE IQO Q � PROGRESS ENERGY Q W.R.E.C. <br /> li <br /> �PLUMBING $ � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � ( / I� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY , <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N ' <br /> Address License# <br /> ELECTRICIAN COMPANY �ti�MC� ;e�,d�G (�U �1 �r- <br /> SIGNATURE REGISTERED Y/ N FEE CURREN /N <br /> Address ��O�O n..� o� � ZS. �1:<TZ- f"�. License# L��0�3l b <br /> P LU M BER COM PANY <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 /> S�GNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> 111111-I�IIIIIIIIIIIi�llllllllllllllllllll�llllllllllllllllll�llllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submiltal date. Required onsite,Construclion Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanilary Facilities 8 1 dumpster,Site Work Pertnit for subdivisions/large projects - <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.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 /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,nolarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades ove�57500) <br /> " Agent(for the contractor)or Power of Allomey(for lhe owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs ROW <br />