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, s��-�so-0ozo Ciry of Zephyrhills Permit Application Fax-813780-0021 <br /> ' Building Department <br /> Date Received Phone Contact for Permitting <br /> Owners Name �9 � t-� ► �� Owner Phone Number � <br /> Owner's Address '�$12 N Q'(� Q ��dm 3 Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Sfmple Titleholder Address <br /> JOB ADDRESS � 1 I �~ � � �fl �1� ' �1 �3, �-I LOT# �3�t I <br /> SUBDIVISION \`�" �=ze M.1\ PARCEL ID# 'L1�-OC�10'(�$30D - pi�rj <br /> (OBTAINED FROM PROPEitTY TAX NOTiCE) j <br /> WORK PROPOSED NEW CONSfR ADD/ALT 0 SIGN Q Q DEMOLISH I <br /> B INSTALL e REPAIR I <br /> PROPOSED USE Q SFR Q COMM � OTHER '� \L <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK ��11 �� SVl\{"1 � �Q�N�C U��fl 1 �,/ � �3 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � � <br /> QBUILDING $�"�.f,l�l 2�3��' <br /> J�� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0' PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ �� ��� v <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br />' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEECURRE� Y!N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y! N �E cuwt�n Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER ,,J-- COMPANY b�'i� �(�z��n ��'��`�-IY� <br /> SIGNATURE �r KSXi �D��'1, REGISTERED �cuw�n Y/N <br /> Address ��� ��� �'1��'�. L'�\\� F License# 13 ��1 <br /> 1 1 1 I 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1�1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 t 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit 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 Woric Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construc6on. <br /> Minimum ten(10)woricing days after submittal date. Required onsite,ConsUucGon Plans,Stortnwater Plans w/Sil[Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit 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 /> Dlrectlons: <br /> Fill out application completely. <br /> Owner 8 Contrador sign badc of application,notarized <br /> If over 32500,a NoUce of Commencement is requfred. (AIC upgrades over�7500) <br /> " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OV ECOQRTER-P,ERMITTING (copy of contract required) <br /> eroof ' shingles wers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />