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s�3,��so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � <br /> • Building Department I <br /> Date Received Phone Contact for Permitting • ��J ��� — �S� I <br /> Owner's Na I e U,A� �U R4 P� ,A (�1 Owner Phone Number <br /> Owner's Ad�ess �aoc.() �.,tJ�V�2i... ��.�i i=- Oudner Phone Number <br /> Fee Simple T tleholder Name Owrner Phone Number <br /> I � <br /> i <br /> Fee Simple T tleholder Address � <br /> JOB ADDRESS �a� �t V �. �J � LOT# � <br /> I <br /> SUBDIVISIO i PARCEL ID# �3- �.�-a� -�c zA - o o a�� — O( ZO <br /> � (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PRO iOSED e NEW CONSTR'e ADD/ALT 0 SIGN Q � Q DEMOLISH <br /> � INSTALL REPAIR <br /> PROPOSEDISE Q SFR Q COMM � OTHER <br /> TYPE OF CO STRUCTION Q 'BLOCK • Q FRAME 0 STEEL Q <br /> .. � <br />, DESCRIPTIOI OF WORK , <br /> BUILDING SI� E SQ FOOTAGE p S HEIGHT <br /> QBU�LDING $ . �� VALUATfON'OF TOTAL CONSTRUCTION <br /> ! 9G'3 <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> I� <br /> QPL� MBING $ � � <br /> � , <br /> �� <br /> � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I <br /> � <br /> I) <br /> QGAS Q�ROOFING Q SPE6IALTY 0 OTHER <br /> FINISHED F IOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> I <br /> BUILDER � COMPANY <br /> SIGNATURE i REGISTERED Y/ N FEE CURRE� Y/N <br /> Addres i License# <br /> ELECTRICI � COMPANY <br /> SIGNATURE I REGISTERED Y/ N FEE CURRE� Y/N <br /> ', Addres I License# y <br /> PLUMBER,, � COMPANY <br /> SIGNATURE •REGISTERED Y/ N FEE CURRE� ' Y/N <br /> . Addres' License# <br /> � <br /> � , <br /> MECHANIC - COMPANY <br /> SIGNATURE i ' Re�isTeREo � Y/,N FEE CURRE� Y/N <br /> Add�e's I - � .. .License#. <br /> - �F�. i . - ' <br /> � <br /> OTHER� ' _ COMPANY ` � <br /> , SIGNATURE i� -' REGISTERED , Y/ N FEE CURRE ' ,/N I <br /> Aaa�es'� � l.�f��g . ��,�.�..` � �D C <br /> � �icense# �CC -Q,S Z <br /> ` RESIDENTI '�� Attach(2).Plof Plans;"(2)-sets.of'Building'Plans;(1)set of�Energy Forms;R,O-W:Perrtiit for new.construction, • <br /> , _ , , Minimum_,ten.(10)working.days after subrriittal date. Required onsite;Con`stniction Plans,_Stormwater Plans w/Silt Fence installed, <br /> -. Sanita,ry,Facilities 8��,1;•dumpster;Site Work,Permit for.�subdivisions/large projects � ---- - - — —_ __ ___ _ <br /> :_ COMMERCIAL Attach(2)'complete sets of Building Plans plu's a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> � I 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 fo�:all new projects.All commercial requirements must meet compliance <br /> SIGN PERMI� i4ttacli�(2)sets of Engineered Plans: ••; <br /> *"'«PROPERTY SURVEY required for.all.NEW_construction. <br /> Dt�ections: �I �- - - <br /> Fill�out�pplication completely. <br /> , Owner 8�Contractor sign back of application,notarized <br /> • If over$�500.a Notice of Commencement ls required. (A/C upgrades over$7500) <br /> "' Agent(f i r tlie cont�actor)or Power of Attomey(for'the owner)would be someone with notarized letter from owner authorizing same <br /> ;OVER THE C�UNTER PERMITTING � (copyof contract�required)� <br /> � Reroofs if shi�gles Sewers .�Service'Upgrades'A/C" ':�Fences(Plot/Survey/Footage) <br /> Drivewa s-Not over Counter if on publi�c;roadways..needs ROW ,` <br /> _ , ,: <br /> �i ,._ . _. .,_ ....�_ ..�.__,, ..., ,,.�_. <br /> �.,_ ,I — - <br />