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,- � a��-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Departmenl <br /> � DateReceived Q1� ���_ 2�"� <br /> Phone ContactforPermittin V .7 <br /> -rrrr�T - - - To-�-�-� - <br /> Owner's Name as�� � Owner Phone Number ��7—�"1���O���� <br /> Owner's Address �"�0�7� `�� l�+v� �1`� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Numher <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS Q (�[ Z �1�� �. 5y LOT# y�-I <br /> SUBDIVISION 5��� �TtS pARCELIDq �`O(�'o{I�V�" `��v��'^'1V <br /> (OBTAINED FROM PROPERTY TN(NOTILE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE �SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q � O <br /> DESCRIPTIONOFWORK �e"�� �F�—.S�Ju I CrU,Vlptv,�1_��{ 4- �7�t�p��c.�) U'1 QA�l1G� <br /> BUILDING SIZE SQ FOOTAGE aS i.Z HEIGHT � <br /> 1 1 1 1 1 1 I1T1 7 1 1 1 1 1 1 1 I 11 1 � 1 1"1 <br /> �BUILDING $/� � VALUATION OF TOTAL CONSTRUCTION <br /> �.� <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING $ � f„� ^ _ <br /> � ]/, �/ <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION v <br /> �GAS � ROOFING Q SPECIALTY � OTHER r/���''%� - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO / <br /> ( <br /> BUILDER COMPANY W V�Y�1 n �f�� �1CS���� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �� �30�g SO <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# I <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllllllllllllllllltllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/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,ConsWction Plans,Stormwater Plans w!Silt Fence installed, <br /> I Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meel compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> "'PROPERTY SURVEY required for all NEW constniclion. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicalion,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) <br /> " Agent(for the conVactor)or Power of P.ttomey(for the owner)would be someone with notarized letter from owner aulhorizing same <br /> OVER THE COUNTER PERMIT7ING (copy of conlract required) <br /> Reroofs if shingles Sewers Service U rades A/C Fences PIoVSurve/Foota e <br /> P9 ( Y 9 ) <br /> Drlveways-Not over Counter if on public roadways..needs ROW <br />