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s��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> �• Building Department <br /> Date Receiv�' ` Phone Contact for Permittin — <br /> g;_. <br /> Owner's Name Owner Phone Number <br /> Owner's Address � � �o�"l t-✓ - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS J �� Z 3� S� � � ` G[ S LOT# � <br /> SUBDIVISION PARCEL ID# ��� Z�o — ZI ��� 3v -oo � c�o -G 2ac� <br /> (08TAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED ' B � NSTALLSTR B REPAIR � SIGN. Q Q DEMOLISH <br /> PROP..OSED USE Q SFR Q COMM 0 OTHER ; <br /> TYPE'OF CONSTRUCTIOId Q BLOCK •- Q FRAME Q STEEL Q - <br /> DESCRIPTION OF WORK �`' �� � � � /t� �I"`^ � <<Z^'� � � <br /> - BUILDING SIZE SQ FOOTAGE � � J b HEIGHT •. <br /> QBUILDING $ G) �v p�� VALUATION"OF TOTAL CONSTRIJCTION <br /> l <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> Q'PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � C �/�� <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y'/ N FEE CURRE� Y/N <br /> Address License# <br /> � 'ELECTRICiAN COMPANY = <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> ' 'Address Licerise# + <br /> :.�,� <br /> P.LUMBER.,;, � CORIIPANY� � <br /> SIGNATURE �REGISTERED Y•/ N " FEE CURRE� Y/N <br /> Address L(cense#° <br /> �- -: r.; .. <br /> MECHANICAL" ' COMPANY <br /> SIGNATURE�' ' REGISTERED , Y/ N FEE:CURRE� Y/N ' - <br /> Add'r`e'sst" . L•icense# <br /> r;.�;�'r, �. .. <br /> ,".-O?HER��� ;•:,. ,. ,.. COMPAMY , SC.O � : 4Crkl�wcen �;',•� <br /> ;�`SIGNE?►TURE;'��,i:� - ��Y/-—"� REGISTERED Y/.N FEE CURREK Y/N <br /> ::: �;::F.i .- _ <br /> Address�.; Y, ,V � �X.,1..Go: �, cla� �v,.�d� � , 33�76 Lioense# CCC V �� �'l�� <br /> -�.. �'�=::;, . , <br /> %;YRESIDENTIAL°::,�: �:Atttach;;(2):�Plof�.P.lans;!(2)�"sets of:Building�Plans;(1•)-set of��Energy',Forms R=0=V11 Permit,for new.construction, <br /> _ ,_ -, ,��,�,::.,.,;�;-,�Minimum_;ten;(10)wor..kingidays afte�su6mittal�date:'Requireii`onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> �. ' p. , <br /> �- Sanit�ry;�F�acilities;&;;1�dumpster;Sife;Wor,k P..ermit for.,sulidivisions/iarge p�ojects � <br /> =�F,COMMERCIAL Attacti`�(2f'com'plete"'sets�of'Building Plans plus�a'Life Safety Page;(1)set of Energy Forms..R-O-W Permit for new constructlon. <br /> ' ' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> �°° Sanitary FaciliUes 8�1 dumpster.:Site Work Permitfo��all�new p�ojects.All commercial requirements must meet compliance <br /> ti��SIGN�pERMIT -AttacFi`(2f sets of;Engineered Plans:�r.� - ' <br /> ' ""'*PROPERTY SURVEY required for aII,NEW.construction. <br /> ":i _. _ ' <br /> y..t.' " _ " _ _ <br /> 'J . . <br /> =;DI6@CtI0118: „ . .._ .: " � � <br /> - Fill':out application completely. <br /> Ovuner'&ConVactor sign back of application,notarized <br /> r_ � Ifover$2300;a Notice.of Commencement is required. (AIC upgrades over$7500) : , _ - <br /> � �,.:„:.r��,c <br /> ;."'"- .Agent.(forthe�contractor)°or�Powerof Attomey(for"tlie ovmer)would tie someone with notarized letter from owner authorizing same _ <br /> �;OVER.THE COUNTER=PERMITTING. - ;(copy.of contract?required) �� "```' � <br /> � 'Reroofs if shingles Sewers � Service Upgrades A/C �Fences(Plot/Survey/Footage) <br /> � DriVeways-Not over Counter if on publicrroadways'.needs ROW:.: ���� <br />