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• a�3-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department � <br /> Date Received .i ��j �?j __ ��� � <br /> Phone Contactfor Permitting <br /> � � � � � � � � � � � � � <br /> Owner's Name 1 ��s A � Owner Phone Number �f��)`18 3-559�1 • <br /> Owner's Address �(,S� �t� 5 . Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �p �I �1� �� �� S T L 3�5��t�Z LOT# � <br /> SUBDIVISION PARCEL ID# I F'�6' a�C I— �n l0—O 300p- � �3� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONS7R� ADD/ALT 0 SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE SFR � COMM � OTHER <br /> TYPE OFCONSTRUCTION 0 BLOCK Q FRAME 0 STEEL � <br /> DESCRIPTION OF WORK I'1� Ic.�.a. (�O� t S� �!Y�C� <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> �BUILDING $�—Q J ,l VALUATION OF TOTAL CONSTRUCTION <br /> V <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ � � y'}�3 ;,—'—�-1^ <br /> Vn��,,�p� <br /> � / ��^p'.' G"�" <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��� � �i �6 1!���� <br /> f�i + � u <br /> �GAS � ROOFING Q SPECIALTY � GTHER Q- %�y�Gfi <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> ���� <br /> .4�. % <br /> . . . . . . . . . . G�/���J, <br /> BUILDER I � � COMPANY / /e/W�• • •�/C���J • <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� � Y/N <br /> Address �1 Ll7 /��� t7 ) �l��. r 4ice se# li Q �(7 � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License i/,�— � <br /> PLUMBER � COMPANY I <br /> SIGNATURE RE�ISTERcD Y/ N FEE CURRE� Y/N <br /> —7 <br /> Address � License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE I REGISTERED Y I N FFE CURft'c� Y/N <br /> Address LicenceS � <br /> � �OTHER COMPANY �� <br /> SIGNATURE � _ REGiS1EREC LY.+ �J j FGcr,iaFtEr. Y/� <br /> Address � �icense� �� <br /> 1 1 1 1 1 1 1 I 1 1 1 1 C 1 1 I 1 I 1 1 i 1 I 1 1 P 7 ! C 1 E 1 9 1 7 1 I ! 1 [ i t Y i 1 i ! 6 Y ! ! 1 1 9 1 1 1 i Y 1 1 1 ! i 0 1 7 � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of E�er�y�orms:R-O-W Permii fcr new ccns!ruction, <br /> Minimum len(10)working days after submittai da[e. Required onsi?e Conscuchon Plans,Slormwater Plans wi Silt Fence installed, <br /> Sanitary Facilities&1 dumps[er,Site Work Permit for subd?�isions;iarge projects <br /> COMMERCIAL Attach(2)complete sels of 8uilding Plans plus a Life Safety Page;(t)set of Energy Forms.R-O-W Permit for rew consVuc,ion. <br /> Minimum ten(10)working days after submittal date. Required onsit=,Ccnstruction PI2ns.Stormwater Plans w!Silt Fenr.e installed, <br /> Sanitary Faciliti2s&1 dumpster Site Work Permit for all nrev projacts.All cominercial r�quiremen;s must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW conslruction. <br /> Directio�s:, <br /> Fill ou;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 the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITT7NG (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Nol over Counter if on public roadways..needs ROW <br />