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, , s��-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021� <br /> Building Departrnent <br /> �G� @ °��`c�.. <br /> Date Recefved � phone Contact for PermitYing ��7 ��6 O- – Y�� - W��� <br /> c' l �/ r �/1 <br /> Owner's Name J v�N F— Owner Phone Number 1 ( {- �!. <br /> Owner's Address Owner Phone Number r <br /> - - �P.�P�n L-� <br /> Fee Simple Titlaholder Name Owner Phone Number J <br /> Fee Simple Titleholder Address l��-l'VI <br /> ��5� / <br /> JOBADDRESS � O G � �ONL�U�D 3S� LOT# � f ,� �n „� <br /> c� l/ �ir.v o <br /> SUBDIVISION PARCEL I�F 3y�ZST Z I FR�1 Ro�rrr NoncE O �DO 2D n,,��., I <br /> �� I Y.�(/i �L. <br /> WORK PROPOSED � NSTALL�R B REPAIR � SIGN Q Q DEMOLISH �/ <br /> PROPOSED USE Q SFR �. COMM � OTHER c./"` �� <br /> TYPE OF CONSTRUCTION Q BLOCK �, FRAME STEEL Q <br /> DESCRIPTION OF WORK a/l+ 1� "-� 1M S � � ✓)� ' W1V�'�'r�� <br /> BUILDING SIZE SQ FOOTAGE I-7 �L�'%J HEIGHT ZO��3(I'L�t <br /> �y_�_�� <br /> fTl 1 1 7 7 P1 7 f 1 � 1 7 1 1 1 � 1 1 1 <br /> �BUILDING $ � O,p�,i.� VALUATION OF TOTAL CONSTRUCTION <br /> QA/ <br /> DI � QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. ���- / <br /> �j/ � � <br /> � QPLUMBING $ �� <br /> l � <br /> � OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> b� \ ! I �--�� �"� <br /> QGAS ROOFING Q SPECIALN � OTHER �/G�wl� ��• - � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO p�('���-� <br /> ! ` � <br /> /�r�C <br /> BUILDER �J� �p�� COMPANY <br /> SIGNATURE `"'�-� •""'V REGISTERED Y/ N FEE CURRE� Y/N <br /> License# <br /> /'�� 1 <br /> � <br /> � ELECTRICIAN � � /�`QD� COMPANY <br /> ���,.���r.�SIGNATURE � �� r�clsrEaEo Y/ N �E cuwx�n Y/N <br /> ��tt(���K Address V <br /> PLUMBER COMPANY 4`� �-��� <br /> SIGNATURE r��ISTeReo Y/ N �e cuaaen Y/N <br /> Address � License# � <br /> ��,`I� MECHANICAL � COMPANY <br /> 'p1�`,�Q� SIGNATURE rtE�ISTeaEo Y/ N FEE CURREA Y/N <br /> 'F�--„A� !� Address License# <br /> V��� �� <br /> �'1� OTHER -��l / C � COMPANY <br /> w SIGNATURE REGISTERED Y/ N �e curtrt�n Y/N <br /> Address License# <br /> IIIIIItllltlllllllttlllllllllllllllllllltlllllllllltlllllllltlllllt <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Conshuctian Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FacilRies 81 dumpster,Site Work Permit for subdivislons/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permil for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, <br /> San'itary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet campliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> DlrecUons: <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 E7500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be 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(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />