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a�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . � Building Department <br /> Date Received Phone Contact for Permitting — <br /> Owner's Name 1'"1�2 ' �:1 '�C � Owner Phone Number g�.�" �7 ��� SO�n <br /> Owner's Address ���� 1 [�� S�' Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS `� sl��'( I Z�" S�"' LOT# � <br /> SUBDIVISION PARCEL ID# �� � Zb-Z( - �O1� — �,�jfl(7t7 `��3O <br /> (OBTAINED FROM PROPERTY TAX NOTICEJ <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE'OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK � ' G�� �� CIn�� �n;� ��' U'e1 SL S Ii I' <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �_�� � <br /> QMECHANICAL $ j 1`� VALUATION OF MECHANICAL INSTALLATION <br /> U .7 �`�' G � <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER / <br /> ! <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <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 /> ' MECHANICAL � COMPANY I c�`S )-�-e2Tl � �„x����/� <br /> SIGNATURE' REGISTERED Y/ N FEE CURRE� Y/N <br /> ada�egs - 1�l��l3 lA s Lf� ✓� . L-icense,# � � �0 7�o <br /> : •;., <br /> OTHER� " COMPANY _ � ' <br /> SIGNATURE= : REGISTERED Y/N-. FEE CURRE�' , Y/N <br /> Address - ` License# <br /> RESIDENTIAL;�, Attach(2):PIot�P.lans;(2)sefs of Building-Plans;(1)'set`of�Energy;Forms;R-.O-W Permit,for new construction, <br /> �Minimum,ten;(10)working;days after�subrriittal�date. Required'onsite,�Con's'truction Plans,Stormwater.Plans w/Silt Fence installed, <br /> Sanita,,ry..Facilities;&:1�.dumpster;Site Work Perr'tiit for sulidivisions/large:projects _ , <br /> .'COMMERCIAL Attach(2)'complete sets of Building Plans plus a Life Safety 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,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance � — <br /> � SIGN PERMIT i4ttaoh(2)sets of Engineered Flans. <br /> �• ""PROPERTY SURVEY required for aII.NEW construction. <br /> Directtons: << - � <br /> Fill out applicaGon completely. <br /> Owner&Contractor sign.back of application,notarized <br /> If over$2500;a Notice of Commencement is requlred. (A/C upgrades over$7500) <br /> " Agent(fo�th'e contractor)orPower of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER•THE COUNTER PERNIITTING (copy of contract required) <br /> " Reroofs if shingles Sewers� Service�Upgrades A/C- -�Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if an public roadways..needs R01N <br />