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s�s-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receil ed , • r-Z�,j �C, Phone Contactfor Permitting / z-7 ��.� -- ��.1 �I' <br /> Owner's Name /"���� � • �L1� Owner Phone Number Cl �� �V�--'-� �i1 �� I <br /> Owner's Address °�.z�� � �"�w �f� � ���� Ovuner Phone Number <br /> Fee Simpl Titleholder Name Owner Phone Numbe� <br /> FeeSimpl TitieholderAddress <br /> JOB ADDR SS �� �aJ � � C G� p� f�N`�► �'L"G�i� �i'�� LOT# "� �� , <br /> SUBDIVISI N ��"s"""' � ��tv�`°"' � PARCEL ID# �T `�J '-z-� `faJ�"H 1��- � (} � �U <br /> (OBTAINE�PROM PROPERTY TAX NOTICE) � <br /> WORK PR�POSED NEW CONSTR ADDlP,LT 0 SIGN Q �] DEMOLISH <br /> B INSTALL B REPAIR <br /> PROPOSE USE �� SFR Q COMM [� OTHER �� � <br /> TYPE OF ONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPT ON OF WORK iC.��4!/�l� /�/�/�"" �s✓ �Y� ��CJ �� �/� ��� ��� `���/"' � <br /> °� ^y r J�� D <br /> BUILDING SIZE J�r ` � SQ FOOTAGE '� " � HEIGHT l � ' <br /> �BUILDING $ �`�' �� VALUATION OF TOTAL CONSTRUCTION <br /> D�LECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> � LUMBING $ , ( �`„�� � <br /> � � 1 \1j' /, � �'L-��Q l�i� C/ <br /> v <br /> OMECHANICAL $ VALUAI"ION OF MECHANICAL INSTALLATION � <br /> �J� '-�I��G� <br /> � AS Q ROOFING Q SPECIALTY � OTHER � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES N� �� <br /> � a�r/ t� `� /�n <br /> BUILDER •' ;��� ��`, COMPANY '�'LL- ��L rZ('4.�,'� V✓�l4��c�rl�Sl�/�'/j"�� r� °' <br /> SIGNATU E r����� ��� �� � REGISTERE� N FEE CURRE� Y/N <br /> Addr ss ��2�� �S�:�I f� "����- '/�'.-_���,�i��"�l� � �`�� � - License# `��C I� ���'" de� .� - <br /> � �� <br /> ELECTRI��IAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr ss License# <br /> PLUMBEfj COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr ss License# <br /> MECHANI AL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addr�ss License# <br /> OTHER COMPANY <br /> SIGNATU E REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrgss License# � <br /> I . <br /> RESIDEN IAL 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 su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&'i dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br />� SIGN PE MIT Attach(2)sets of Engineered Plans. <br /> **'*PROPERTY SURVEY requlred for all NEW construction. <br /> Direction <br />� Fill o�t application completely. <br /> Own r 8 Contractor.sign back of application,notarized <br /> If ov r$2500,a Notic"e`of Commencement is required. (A/C upgrades over$7500) <br />�� "* AgenY(for tfi'�'contractor)�orPowe[�of;Attomey(for the owner)would be someone with notarized letter f�om owner aufhorizing same . � <br />� ,. ,. . ,.... ,:�..'- .>.,._=..�w:- .-___- _ � _�_- - <br /> OVER TH�.COUNTER.PERMIT.T;ING�� :; �(Front of Application Only) $, ,',;•F �:; .... - <br /> Reroofs ifshingles;, ,;,„ Sewers � 'Serbice Upgrades A/C Fences(Plot/Survey/Footage) '.:= ..�:�:.�.' . • _ <br /> : ,-. -' , . ,� . . , :�•�1 �F ' :. . . ;�i� <br /> Driv�way's-Not�over-Counter-iRon public.roadways..needs ROW ' " _ '._�` '.'."'`_':," � _ _ �._`..r <br /> ,.........�. w-�.:,. .:. -_..-�,.... _....._ _ . .t-., <br />