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s�s- ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> t` Building Department <br /> Date Receive�l � <br /> I �Phone Contact for Permitting 8�3 35.� — ��.S <br /> Owner's Nam `�,�, (,� � �� � //✓(� Owner Phone Number �� ���Z—��g <br /> Owner's Addr ss 3?sol r��r�ri�✓a� �v�. Owner Phone Number <br /> Fee Simple Ti leholder Name ^'•�' Owner Phone Number � <br /> Fee Simple Ti leholder Address �A• <br /> JOBADDRES .�J7J�OI ��'��✓�fl� f}YE. LOT# � <br /> SUBDIVISIOfd , VA'��yd� M� pARCEL ID# D3'z6%2/�0�7D— OOaO—ORAO <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROP �SED B . NEW CONSTR e ADD/ALT �] SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED U E Q SFR Q COMM 0 OTHER <br /> TYPE OF CON TRUCTION Q BLOCK - Q FRAME 0 STEEL Q <br /> DES RIP � �PGIIG� /,' -N SU�B �LEC'j�JC/rL /0�}/VEL <br /> C TIOtd OF WORK I[ F�+T�.'JS� �.Z��MP <br /> BUILDING SIZ •�• SQ FOOTAGE�. HEIGHT <br /> QBUI ID G $ �/�� VALUATIOtV�OF TOTAL CONSTRUC ON(P,��/� ��rj �_��J/�,EJ <br /> /v i � <br /> ELE�TRICAL $ /��S' p0 AMP SERVICE Q W.R.E.C. <br /> I � �UK� Pow�,2. <br /> �PLU BING $ }��CI�S?l�tlG j-QO/9�'�1�cS6�3��G'E. (��t/Cffsy�✓6.Ed <br /> QMEC ANICAL $ VALUATION OF M�CHANICAL INSTALLATION � <br /> OGAS Q ROOFING Q SPECIALTY OTHER �1 �� � <br /> 0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO %%� <br /> BUILDER ` -/ ~ "� COMPANY ��� ��✓S��C%T70>✓ l�✓e•� <br /> SIGNATURE /I�tS��IO�7/ /YJ�iy/S�G�Q REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY �""�U�L P� � r C� �'e-"- <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N � ��' <br /> Address License# � �7'��'�1�2 <br /> �� <br /> PLUMBER COMPANY <br /> SIGNATURE rte��sTeReo ' Y/ N FEE CURRE� Y/N <br /> Address License# ' <br /> M ECHANICAL COM PANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER'� COM PANY <br /> SIGNATURE.: REGISTERED Y/ N FEE CURREt� Y/N <br /> Address�- License# <br /> RESIDENTIAL . Attach(2)Plot Plans,'(2)asets 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,Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdiyisionsAarge projects <br /> COBIIfiAERCI�►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,Constriiction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary,'Facilities&.1 dumpster.Site Work Permit�fo�all new projects.All comme�cial requirements musf ineet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTI'SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out appli tion completely. <br /> Owner&Co Uactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for thle contractor)or Power of Attomey(for the owner)would be someone with notarized letter ftom owner authorizing same <br /> OVER THE COU�ITER PERMITTING (copy of contract requlred) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) I <br /> Driveways-IUot over Counter if on public roadways..needs ROW <br />