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w��` : .,, •, , a�saao-oozo Ciry of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �,�j -T 8Z OQ� <br /> Phone Contact for Permitting <br /> Owner's Name P rY�h il (�� e�L Owner Phone Number <br /> Owner's Addrass 5�S Glond�-Rue- ���'��a Owner Phone Number <br /> Fee Simpl'e FitFeFi'oYder NaMe. ' pwner P�one Number <br /> Fee Simple TiUeholder Address <br /> JOBADDRESS 0� - Kh�1�T h Z �D� r-�35�1Z �oT# � <br /> SUBDIVISION �.lr K4tt`I I T-2.YYQCQ PARCEL ID# �2�-ZI�000(7-03"�-oa►a <br /> (OBTAINEO FROM PROPERTY TA%NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q � DEMOLISH <br /> -INSi'ALL REPAIR <br /> PROPOSEDUSE �' :SFR � •L`,ON�NI � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK ��� � <br /> BUILDING SIZE SQ FOOTAGE C� HEIGHT � <br /> �BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRIGAL $, AMP SERVI.CE Q PR�GRESS ENERGY � W,R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER =COAAPAMY �Q,�� n <br /> SIGNATURE REGISTERED N �e cuaa n N <br /> Address L�Q. � � ,��� License# �\;C. J <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/N <br /> Address License# <br /> P��B� COMAANY <br /> SIGNAiURE" rte�Nsieaeo Y/N Fee cur�n Y'/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNANRE REGISTERED Y/ N FEE.Cl1RREA Y./N <br /> Address <br /> License# <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permft for new construcdon, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Sfte Work Permit for subdivisions/iarge projects <br /> COMMERCIAL Attach(2)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minfmum ten(10)working days after submittal date. Required ons([e,Constructlon Plans,Stormwater Plans w/Sflt Fence installed, <br /> Sanitary Facllities&1 dumpster.Sfte Work Pertnit for all new projects.All commercial requirements must meet compiiance <br /> SIGN PERMIT Attech(2)sets of Engineered Plans. <br /> ""PROPERTI'SURVEY required for all NEW constructlon. <br /> Directions. <br /> FlPput appfication completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice af Commencement Is required. (AIC upgrades over 57500) <br /> " Agent(for the contractor)or Power oi Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMIITING (capy of conUact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />