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e�a-7so-oozo _ City of Zephyrhills Permit�Application _ ._ F�-s�saeo-ooz� <br /> � ' � - "• Buflding Department � " ' <br /> Date Received �, �?��!��� �p„one Contact for Permitting � 7p 6 - �3�7 <br /> -I-I-ITI-fTr I-I-I-1 <br /> Owner's Name /"�"% � Owner Phone Number <br /> Owner's Address ��a� �= '�-��� h"`'`�G` '"'�- Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 37T D Lo �"e�`Se/' �- Z �[���S rl• �.3Sy�- LOT# � � <br /> SUBDIVISION PARCEL ID# U"1 Co•o� . - ���� ' ���D O. - Q(�(7 jj <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � �� ��r <br /> BUILDING SIZE CD�l�o� � SQ FOOTAGE �7Z a HEIGHT �/ ,? C/ � <br /> I�I�rTT�TT�1Te� TT�P7"T�1TT'TT� <br /> � «/ <br /> OBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> L��l1d 0:0 v <br /> 'QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> , / <br /> QPLUMBING $ �c„� �✓ � <br /> � y�i� � � <br /> d:� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� �/ ��$rl <br /> V �9�r b'�y <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER `,��""- <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO (� l� �" ,`� <br /> �-1-�-'�-1--f--1-�--F-1-�-1-F-�--1-�1--1-1--1-�-�--f-H-1-1--1-1--1--f-1--1-1-1--1-�1--F-1--f-FI--1-1�"E-1--1--1-1--1-FI--1-F��1-�--1-U F- <br /> BUILDER � • � � COMPANY ��K S 1�4 7� �'l `L[Lf� � !.t!� <br /> SIGNATURE � REGISTERED Y/ N FEE CURREN /N� <br /> . <br /> Address �S �I ��!' �G�� ��4/6�S �L 3 �d— Licens d�v« ( <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE C /N <br /> Address License# <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 /> IIIt111111111111111111111 'IIIIIIIIIIIttIt1I11111111111111t1111111111 <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.I..f-L.�..1-1..�1-I..�f�-�1-4�1-�1�.�..1.�1-i-f��l�-�1--1-��{�-4-I.�E.�f�-4-1-.1..{-1..1-1..1-1-L-�-.i-1-�I..F-1..1-1..��1..1-1-I..f-I..f..f-1- <br /> D(rections: <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 PERMITI'ING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />