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, eis-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> Date Received phone ConWct for Permitting ?a �G� — � � � <br /> Owners Name G. C�n,C���Q, Owner Phone Number ��3`�0 4 ^�d S <br /> G G7 l� J <br /> Owners Address p O � �.- Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 2JC�CJ J r '� LOT# � <br /> SUBDIVISION PARCEL ID# l-a� - a I -C.x�I G- f-1 UG —G�G� <br /> (OBTAINED FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FR,4ME Q STEEL Q <br /> DESCRIPTION OF WORK G`ClG-�R 2 C�' U �C1G1�w $� ¢.. -F,C, S�ZZ. FL# ("e <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT C� <br /> �BUILDING $�G � VALUATION OF TOTAL CONSTRUCTION <br /> � <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q .w R.E.C.�� <br /> ���� <br /> QPLUMBING $ O �O� <br /> � til C�NS� <br />, QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I <br /> QGAS Q ROOFING Q SPECIALTY � OTHER ��� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �� <br /> BUILDER •�d�ANY• • l�`�• •W���d(N <br /> SIGNATURE REGISTERED Y! N FEE CURREN Y/N <br />� Address o�G� )6 S � �, License# cc�c �5 a �� <br /> ELECTRICIAN COMPANY I <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N i <br /> Address License# �I <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N i <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N , <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <br /> I illlllllltllllllllllllllllltltllltlllltltllllllllllltllllllllllllll , <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sels 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,Construclion Plans,Slortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisionsAarge projects <br /> COMMERCIAL Altach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construciion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Atlach(2)sets of Engineered Plans. <br /> •"'PROPERTY SURVEY required for all NEW construction. <br /> II Directions:• I <br /> I Fill out application completely I <br /> Owner 8 ConVactor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for the contractor)or Power of Attomey(for the ownerj would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contrad required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />