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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> •• Building Department <br /> Date Re�eived � � <br /> Phone Contact for Permitting • r� . ���-_ �� z- <br /> Owner's Name S /�j(J-[,,, � ��j f/ Owner Phone�lumber <br /> Owner's Address � O �i9' G - !� �l/� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address . <br /> JOB ADDRESS � ��G LOT# � <br /> p <br /> SUBDIVISION PARCEL ID# /z �26 -�/ - o�30 -�o�a� �- aaf�a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) � <br /> WORK PROPOSED � -� WSTALLSTR B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE�OF CONSTRUCTION BLOCK •• Q FRAME Q STEEL Q <br /> DESCRIPTIOM OF WORK �M � � L.J/��f� f�G ��iNG�Cf <br /> � <br /> BUILDING SIZE SQ FOOTAGE �.�3 � �i � <br /> HEIGHT • <br /> �BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> � vo od <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> , , <br /> QPLUMBING $ <br /> MECHANICAL v �V� <br /> 0 $ VALUATION OF MECHANICAL INSTALLATIOIV � . <br /> Q,GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY ��SC c1 �L/'�eG/' e_ %�' <br /> SIGNATURE � REGISTERED N FEE CURRE� Y <br /> Address License# <br /> �'ELECTRICIAN COMPANY <br /> ,. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address` , License# ' <br /> PLUMBER,,. _ COMPANY <br /> SIGNATURE :REGISTERED . Y-/�N FEE CURRE� Y/N <br /> Address ' License# ; <br /> MECHi4NICAL' � COMPANY <br /> �'SIGNATURE`'"�� " ` REGISTERED , Y/ N FEE.CURRE� , Y/N <br /> Adii�ess=" � � - ' L-icense.# . <br /> :.�- _ - • . <br /> ; 'OTHER''."�" � . COMPAfdY <br /> �:SIGNATURE:?};';� ..� - � • REGISTERED Y/.N FEE CURREK Y/N • <br /> :ni; ,.� , . , „ <br /> Address�.�: - _ - � . �°- . License# <br /> ":;RESIDENTIAL.�•:::"Attach";(2);PlotPlan's;'(2):sefs�of�Building Plans;'(1)�setof'Energy.Forms;R-O=W Perinit,fornew.construction, <br /> _ , ' � Minimum_:ten•<(;1Q)`.working:`days afte�.-"siubmitfal=dafe.'Requi�ed`onsite;'Constriiction Plans;Stormwater Plans w/Silt Fence installed, <br /> � . �;::�.s�.`.�'t=. .. ,.,._,:•...w <br /> _-_ _- Sanita,ry;,Facl�lities7&.,1kdumpster�Site,.Wor,k,Permit_for;subdivisions/large'project's� ' � � � <br /> ��:.�bCOMMERCIAL Attach�(2)`complefe`sets'of'Buildirig Plans plus a Life Safery Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> ;';;' - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> ;:�� . Sanitary EaciliUes 8�1 dumpster._Site,Work Permit"fo��all-new projects.All commercial requirements must meet compliance <br /> �+"�SIGN�PERMIT Attacfi(2)sets of;Engineered:P_lans:��. �;; . . <br /> � "•"'PROPERTY SURVEY required for aII.NEW.construc8on:. <br /> M1:€-. __ <br /> ��;Directions:. y- ,,, . <br /> ' `�"�F(Il:-out appliqtion completely. �� <br /> ,� Owner&Contra�tor sign back of application,nota�ized <br /> "if over$2b00;a Notice:of'Commencement is required. (A/C upgrades over$7500) <br /> : " Agent(for th'e cont�ractor)�or�Power�of Attomey(for'tFie owner)would tie someone with notarized letter from owner authorizing same <br /> `s,:'.QVER.THE.COUNTER;PERMITTING._,....,_..(copy_of contract required) ' <br /> ?-<Re�oofs.if sli(ngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Drlveways-Not overCounter if on public`�roadw""ays..rieeds ROW <br /> .. , <br />,L - _._ <br />