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a��--ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> ��ate Receive "C�-.�G� Phone Contact for Permitting � t � �U �� �� <br /> TI-1-1 r�t <br /> Owner's Name n�(�GI'� ��! C�S � �S�C- Owner Phone Number G ""�- / (J <br /> —L. <br /> ��r 6W ��d � d � <br /> Owner's Address � .(.�(� �� ( n r h/n�Num er � �� <br /> Fee Simple Ti�eholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l,Y I `C./(�L-! �I V� LOT# � <br /> SUBDIVISION PARCEL ID# � `(�'�5 v�-f� Vt l D w OVO� (�v J v , <br /> (OBTAINED FROM P OPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK �/ l ry�( ( � ���11 (:� � � �l��� � V�1��C- /�j�j�s <br /> i <br /> BUILDING SI�E SQ FOOTAGE � �C S � HEIGHT �� �`� �� <br /> Q BUI�DING $ �� �6'-J� VALUATION OF TOTAL CONSTRUCTION <br /> I <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���y' <br /> � � l / <br /> � <br /> QGAS Q ROOFING Q SPECIALTY OTHER <br /> FINISHED FL�OR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ' �; �/^' - n �//^ j <br />, BUILDER . �( COMPANY 1" !���lL� .� � I C� ' � r� <br /> SIGNATURE REGISTERED Y/ N FEE CU RE� Y/N <br />, Addressi lT' - ' �(�(j1Ly ( , �- 34'�� License# ��c.X�� �'�/� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I Address License# � <br /> PLUMBER � COMPANY <br /> SIGNATURE, RE�isreREo Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICA COMPANY <br /> SIGNATURE� REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Addres� License# <br /> I <br /> OTHER � COMPANY <br /> SIGNATUREi REGISTERED Y/ N FEE CURRE� Y/N <br /> I <br /> Addres� License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItIII <br /> RESIDENTI/LL 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 /> COMMERCI�L Attach(2)complete sets of Buifding 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 PERMIT 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 i <br /> If over 2500,a Notice of Commencement is required. (A/C upgrades over 57500) � <br /> *' Agent(�or the contractor)or Power of Attamey(for the owner)would be someone with notarized letter from owner authorizing same I <br /> OVER THE�OUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurveylFootage) <br /> Drivew�ys-Not over Counter if on public roadways..needs ROW <br />