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e��-�eo-ooso City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , • Building Department <br /> Date Received � � phone Contact for Permittlnq — <br /> TT�7_7_'I_r_r _ __ -1-7-f-i�f � <br /> Owner's Name FIG�I'1 I� p �- � Owner Phone Number <br /> Owner'sAddress � /c,Z�b /'`�nZQ� �� Owner Phone Number <br /> Fee Slmple Tftleholder Name Owner Phane Number <br /> Fee Simple Trtleholder Address <br /> JOB ADDRESS 3 L oZ �/� � � n+ � �� I 1�'e- �{ /1 `� S LOT� � <br /> SUBDIVISION PARCEL IDfJ 3�/-� s a�r�-o f80-oaar� a�� � <br /> (OBTAINED FpOM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEwCONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> I PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK S�/t-�J 1���Y47 1 LZa�6� CGZ v 0 i� r ` V PW � <br /> ',� - <br /> BUILDING SIZE SQ FOOTAGE (a�s(� HEIGHT � <br /> QBUILDING VALUATION OF TOTAL CONSTRUCTION <br /> IQELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> I QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER � COMPANY �1�{� C �S L�_G' <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address �'(�' �f� I � License# C��l. �S7 � <br /> ELECTRICIAN ' COMPANY ,�!O 1A��� e�� L�P CYYj L <br /> SIGNATURE REGSTERED Y/ N FEE CURREA Y/N <br /> Address ����� �l I v/��i 1 Z� /J/y`/�/s�T [�'c� 3cx�,,30�� <br /> License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> � � � � � � � � � e � � � � � � � � � � � � � � � o � � � � � � � � � � � � � � � � � e � � � � � � � � e � � � � � � � � � � � � � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilifies&1 dumpster;Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Pertnit for new consWc6on. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Permi[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 /> Directlons:• <br /> Fill out application completely. <br /> Owner R Contractor sign back of application,notarized <br /> If over 52500,a Notice oi Commencement is required. (A/C upgrades over S7500) <br /> " Agent(for the contractor)or Power of Aitomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (copy of contraU required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> DrlvewaysNot over Counter ii on public roadways..needs ROW <br />