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:;-. - s�'3aso-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> = Building Department <br /> Date Received ' gl?, �8� _ �' � <br /> Phone Contact for Permitting <br /> Owner's Name U �� ��" � 6 Owner Phone Number ��J ^ /�� y�L <br /> Owner'sAddress � �� f l���1�, ��-b(,S � `. OwnerPhone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS l��-33 ���t��. (/�5 �p�� LOT# � <br /> SUBDIVISION �L�U�� A-KS PARCELID# (13 �l� �I l/`crYs Ow�� �� � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED - e NEW CONSTR B ADD/ALT 0 SIGN Q � Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK • Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �� I� � (.r � e'o T��e S �r� P, a � �t�' <br /> BUIL'DING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $ VALUATION'OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ j . <br /> �ECHANICAL $ -+ VALUATION OF MECHANICAL INSTALLATION �/� <br /> .� 9Do, oa Z <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER , <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> �� <br /> BUILDER COMPANY � <br /> SIGIdATURE REGISTERED Y/ N FEE CURREt� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N <br /> � Address Cicense# � � � <br /> PLUM BER COIM PANY <br /> SIGNATURE REGISTERED Y=/ 'N FEE CURRE� Y/N <br /> Address ' License#• <br /> MECHANICAL j�,��� ����� , COMPANY �} �S ��e[sf/`�t�C � (� <br /> SIGNATURE �'���� �41 � ' "` REGISTERED . ; Y/ N FEE CURRE�- Y/N <br /> Address `7`"�� �'7��G License.# ��✓/�-�! �v� <br /> OTHER•� "''� COMPANY <br /> SIGNATURE• � - tiE�isTERe� Y./_N FEE CURRE�' Y/N <br /> Address - ' , � ' License# <br /> RESIDENTIAL_ Attach-(2)=Plot Flans;=(2)�sets of'Building�Plans;;(1)'set ofEnergy'F,orms;'R-.O-W P.errriit for new construction, <br /> •� , �;•. --Minimum:ten;(10)wo�king`.iJays after:submittal-clafe. Required�onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed, <br /> ' - ` �Sanitary;Facilities,&�1:.dumpster;.Site.Work Perrriit for�sulidivisionsAarge projects� � - � <br /> _ .COMMERCIAL Attach�(2)`complefe 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 Facilities&1 dumpster..Site Work Permit for all new projects.All commercial reGuirements must meet compliance - -- <br /> -SIGN PERMIT Attach(2)sets of;Engineered Plans.• <br /> ****PROPERTY SURVEY required for.all.NEW construction. <br /> "Directions: �- .• -, <br /> Fill out application completely. <br /> Owner&�Contractor sign.back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> " Agent(for th`e contractor)o�,Power�,of,�A�o�g,ey,(f9s th&��eYp�ou(�b*�''s'omeone with notarizeddettectfiA�p�p,►�,t��e�[,�ytho�izi���arr�e�,�__`�zy^ <br /> �<,��c„ . •",,':1,,%� ..,:...,�, .j1a � ,.l..:a���;='; , < �'I�'ii �� r?. <br /> �.:OVER�THE COUNTER_PERMI7TING •� � "(copy of contract-required):-•- �- � � - ;; <br /> ' Reroofs if shingles Sewers.� '��'Service'Upgrades`A/C� _ Fences'(Plot/Survey/Footage) �; r" ' � � � ` ' •- .� � <br /> � , ;;' _ - � . ;7 ,$ �� , <br /> Drlveways-Not over Count�if on putilic�'r'oadways:,needs.ROW;�; ,,�' � � '' ' - _- <br /> � ,,.�;:, �,.i�DG:�:;;,�+,�., . - . �� � � :��r.r,�;;;;;;,, ,,�,,;t. ,W��n� e �,�o� ''�,�.,,.�-• �:, <br /> �.�'i*':NY���+1 t�"`�' -.i4.. ...)"t��•-��Y����E:n�:�f... �Q��'r'"c^'�.R�`!Va".W'ny y�,��_.31�y� y.��� <br /> y�vS,L: �'�' �49� Ai.i'b"A'S�'A.g%]:�� <br />