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s��-�so-oo2o City of Zephyrhills Permit Application Fax-81�780-0021 <br /> Building Department <br /> �ate Received Phone Contact for Permitting O �� �7�� �s <br />( � � � � � � � � � � � � � <br /> Owner's Name 1� RJ l� �C Owner Phone Number 8�37 ��y S 1S <br /> Owners Address � . �0��/� �/�• Zn��l Owner Phone Number � <br /> Fee Simple TiUeholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS Y �+ . ��'`� `s ��.���" LOT# Q� /� <br /> SUBDIVISION �d e�D�sw,i�, PARCELID# �Y-a(o-al-oa70 -�o�- oa9b <br /> ' (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q b � � p, <br /> DESCRIPTION OF WORK 1"L��''e �TV m� � ��e{ry��in� a a <br /> BUILDING SI2E ��X�� SQ FOOTAGE 5�.v HEIGHT <br /> �BUILDING $ ��0 pp VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ o o AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> 300. <br /> �PLUMBING $ . �� <br /> d�. \ <br /> �MECHANICAL $ �OO. p0 VALUATION OF MECHANICAL INSTALLATION ����� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY Tp� n �i n�$ /�(�!T� -��7S7Y/��O r <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> ` :Zff/Od1 f/ <br /> Address � �� �L[ Y� �! S License# �T�� <br /> 3�s <br /> ELECTRICIAN COMPANY OwlZ�r <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> i <br /> Address License# <br /> PLUMBER COMPANY �!O i'ln n l Vl l�S ��f1� .L/l�Ta.���� a=' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address 3 Fs9l 3 GCG �Y� �/� �icense# ��f/oasyo3 <br /> 33 SY <br /> MECHANICAL COMPANY �wn'er <br /> 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItll. 11llllllllllllllllll <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(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 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 /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized , <br /> If over$2500,a Notice of Commencement is required. (AIC 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 PERMIITING (copy of contract required) <br /> Reroofs'rf shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways._needs ROW <br />