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a�3- so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . ,�� Building Department <br /> , <br /> Date Receive � - 0 Phone Contact for Permitting ��` �C� -- <br /> Owner's Name "�f7 ` � Owner Phone Number �� � �C7 � <br /> f� � <br /> Owner's Address �7� 1�' ' l�l :"� Owner Phone Number <br /> Fee Simple Ti leholder Name Owner Phone Number <br /> Fee Simple Ti leholder Address <br /> JOB ADDRESS �� �1"C� ►"• LOT# � � <br /> SUBDIVISION� Y�►�1 y C/' N �aKs PARCEL ID# �s-oC��°��-�����OODDD - �/�2D <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP SED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED SE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTIO�OF WORK c � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT I <br /> �BUILDING $�� /�.�� VALUATION OF TOTAL CONSTRUCTION <br /> �% <br /> QEL CTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 � <br /> �- <br /> QPL MBING $ �.� � <br /> Y � � <br /> - I 1�"t S�� <br /> �ME HANICAL $ VALUATION OF MECHANICAL INSTALLATION ( , � (: Ci �� <br /> `.� <br /> QGA � ROOFING Q SPECIALTY 0 OTHER ( GJ ����� � <br /> FINISHED FL OR ELEVATIONS FLOOD ZONE AREA �YES NO v� �I/l.t) e-"`^" '\4 r�..� <br /> P °� <br /> , /� p <br /> BUILDER ',�y� c� /�-��1 �S COMPANY �'V.� �(,,.ci'�1 00- <br /> SIGNATURE `" ' 1• � � REGISTERED Y/ FEE CURRE� Y/N <br /> Addres �� � a�i� L�c,� �1��- ��� A3��� License# GIaG l�71?r' <br /> ELECTRICIA � � • COMPANY �``�- �/� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres �`,� ` License# i <br /> Cf . .� <br /> PLUMBER (� _�, COMPANY ^c�QbNte �Uh iN �v <br /> SIGNATURE t(/ REGISTERED Y/ N FEE CURRE� /N <br /> Addres �� �• ��$� � n, � 33�i�� License# r-e Z.��� � <br /> MECHANIC � COMPANY � (S <br /> SIGNATURE REGISTERED Y/ N FEE CURRE Y/N <br /> Addres � License# ' �ll �j <br /> OTHER , �/y�t�� � COMPANY C�s � C�-�S�i 4c-T��u 1 � <br /> SIGNATURE - 1 REGISTERED Y/ N FEE CURRE� Y/N <br /> Address S 1 v k�,� p ��• ��� u�� 1-�<<<�-3�`n License# C C C 3 2 '�j Z �� <br /> 11111111111111 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItllllllllllllllll <br /> RESIDENTI L 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 /> --Sa��itary Facil;�es-&-1-d�mpster,S;:e=Work-Permit-fo�subdiv�s�or.s/larae-projects--- - -_______ - ___ _ , __ _ _____ ____ __ <br /> COMMERCI L 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 8�1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERM�T Attach(2)sets of Engineered Plans. <br /> ***"PROPERTY SURVEY required for all NEW construction. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Directions: <br /> Fill out�pplication 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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if sh�ngles Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage) <br /> Drivew ys-Not over Counter if on public roadways..needs ROW <br />