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a��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0027 <br /> Building Departrnent , <br /> Date Reeeived Phone Contact for Pertnittin <br /> Owners Name �'�\�Q � ��` ` !.-�E 1 � � Owner Phone Num6er � - - <br /> 3 S 12 N�'ca. T�r� <br /> Owners Address •1M �J� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TiUeholder Address <br /> JOB ADDRESS �� �� I�i�� V� Z � `1'�1I���1 G LOT# �� <br /> SUBDMSION ' �S Ci.LC�� PARCEL ID# � J �Z-I"'a���C�`-Cl V <br /> (OBTAINID FROM PROPE[ZiY TAX NOiiC� <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER 1-.- � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ���s IV �' v` l�\ 1 \ �IXY�'l 1� � <br /> �� � c�-3 <br />' BUILDING SIZE SQ FOOTAGE HEIGHT <br /> � <br /> QBUILDING $ �� 2 `�a <br /> � VALUATION OF TOTAL CONSTRUCTION z-� J� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING 5 � �� 2 <br />' Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �( J <br /> QGAS � ROOFING Q SPECIALN � OTHER <br /> r� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGi5rEREn Y/ N FEECURRB� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FFECuwiFt. Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE a�clsr6tm Y/ N FEE cURaEn Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N �Cuaae. Y/N <br />' Address Llcense# <br /> o�rriert ,�,,,_��� coraP,nNv p ' `�Y'oO�F�vt t��' R��'t^ <br /> SIGNATURE �✓'��'����1� ReGlsre�o Y �Cut�n Y/N <br /> Address �J�U 1 �C` �f1�' Q�, `�� � Q, -� License# 1������2 <br /> IIIIIIIIt111111111111111111111I11111111111i1111illtlllllilllllt1111 <br /> RESIDEN7IAL Attach(2)Plot Plarts;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submithal date. Required onsite,Construdion Pians,Stortnwater Pians w/Silt Fence instaped, <br /> Sanifary Faalfies&�dumpster,Site Work Pertnit for subdivisions/large projeds <br /> COMMERCIAL Attach(2)complete sefs of Building Plans plus a Life Satety Page;(1)set of Energy Forms.R O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal daLe. Required onsite,ConsWcbon Plans,Startnwater Plans w/S0t Fence inshalled, <br /> Sanitary Facilities 8'I dumpster.Site Work Permit for a0 new projects.All cammertrtyaal requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for ail NEW construction. <br /> DlrecUons:• <br /> FII out application completely. <br /> Owner&Contractarsign badc of application,notarized <br /> If over 52500,a Notice of Commencement ls required. (AIC upgrades over 575D0) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notar¢ed letter from owner autho�g same <br /> R T�PERMIT17N6 (copy of contract required) <br /> Reroofs if s i les Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />