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, • a��-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 I <br /> Building Departrnent <br /> Date Recelved phone Contact for Permftting <br /> T1T1- ! <br /> Owner's Name � � laC Owner Phone Number ,/���J� J 7'G Z <br /> Owner's Address c7�� J P.I ��.. Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br />' Fee Simple TitleholderAddress <br /> JOB ADDRESS tre ' G � Ff �I �J T Z LOT# 21r <br /> SUBDIVISION l, d7G PARCEL ID# dZ`����D�B—6600� " Oµ�O <br /> (OBTAINED FROM PROPERTY TAX NOTIC� <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM O OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��( � �!! �/!"iSr <br /> BUILDING SIZE SQ FOOTAGE Z�C HEIGHT � <br /> f � � ��� 77 i�tf7 �� � rr� n <br /> QBUILDING S VALUATION OF TOTAL CONSTRUCTION <br /> �O Di 0'D <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br />� QGAS Q ROOFING Q SPECIAL7Y Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> II BUILDER •COMPANY• • • • . . • . • • <br /> li SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br />� ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> PLUMBER COMPANY <br />, SIGNATURE r�cis�Reo Y/ N FeE cuRaen Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREn Y/N <br /> Address License# <br /> OTHER COMPANY , � rG . <br /> SIGNATURE �clsrEa� Y! FEE CURRE� Y/N <br /> Address -�i�.�. License# �/�C., p G,v � <br /> tlllllllllllltltlllllllllll IIIltlttllllllltltltlllllllllttlllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permft for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br />' Sanitary FaciliGes&1 dumpster,Site Work Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consWction. <br /> Minimum ten(10)working days aRer 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 consWction. <br /> Dlrectlons:• • • • • • • • • • • <br /> Fill out application wmpletely. • <br /> Owner 8 Contractor sign back of applicatian,notarized <br /> If over 52500,a Notice of Commencement is required. (AlC upgrades over§7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMITf1NG (copy of contrad required) <br /> ' Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> i Drlveways-Not over Counter if on public roadways..needs ROW <br />