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� � a�aaso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departme�t <br /> DateReceived '��2J7�/ PhoneContaetforPermitting ��3 � "t� 6� <br /> Owner's Name +'/—L � Owner Phone Number <br /> Ownets Address 2��� A M tc rl L� � Owner Phone Number <br /> � Fee Simple Titleholder Name Owner Phone Number I <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � � I C S G` � G� A • . LOT�t � <br />, SUBDIVISION PARCELID# �3"Z�Sr2�—lJl��6V" � Q�'d� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q .Q DEMOLISH <br /> INSTALL REPAIR � <br /> PROPOSED USE Q SFR Q COMM Q OTHER 2I�C1 <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q C�j <br /> .{ / <br /> DESCRIPTION OF WORK (;a G� ('0 �(J L�� c � / < <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT ����y/� <br /> �/ <br /> Z � <br /> L <br /> QBUILDING $ ` O <br /> VALUATION OF TOTAL CONSTRUCTI N <br /> � J C� <br /> QEIECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ ��j <br /> , 3 OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r`� <br /> \ <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE a�cisrEaEn Y/ N �CUarten Y/N <br /> Address ;�� License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N �E cut�Ren Y/N <br /> Address License# <br /> PLUMBER ' COMPANY <br /> SIGNATURE REGISTEaeD Y/ N �Cuaaen Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/N �CURREn Y/N - <br /> Address License# <br /> OTHER �,�/ COMPANY `C.iU ✓i dl C , <br /> SIGNATURE REGISTERED Y/ N E CURRE� Y/N <br /> Address �1 t7 4 G i ��/ License# C G� <br /> tllllllllllllllllllllllllltllllllllllllillllllllllllllltlllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set oi Energy Fortns;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Pla�s,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAI. Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY requi�ed for all NEW consWctian. <br /> Dlrectlons:• <br /> Fill out application completely. <br /> Owner 8 Cantractor sign back of application,notarized <br /> If over�2500,a Notice of Commencement is requlred. (AIC upgrades over 57500) <br /> " Agent(for the coMractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authoriang same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs if sh(ngles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foofage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> _- � <br />