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�, � 81:�-780-0020 ` � City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Buiiding Department <br /> � ����v <br /> Date Received Phone Contact for Permitting r �� <br /> 1 1 1 1 1 1 1 1 ` 1 1 1 1 1 ` <br /> Owner"s Name �Q !� ��� 1 S �`�G �L G `Owner Phone Number ✓�^ �17 ��Q <br /> �( �G7Q� <br /> Owner's Address ���� C..bl.y� �Y��� ��- � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS � �� / �Q /��/�' S ��� LOT# � <br /> SUBDIVISION PARCEL ID# J 7 �����I�� fj� '����� �o0 71 d <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN 0 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK OI�//�{/G �� �CC � 0 �µ <br /> BUILDING SIZE I �O e yG,�(i SQ FOOTAGE O O 7 V HEIGHT �{/ �D <br /> —�� � � �r� � � ITrIT T � r r� � � rmT�—r� rrr�� � �� r� � i� i � ��—r � �T� � � �r�rrTrr�—rr <br /> �BUILDING $.- G., � �/ALUATIONOFTOTALCONSTRUCTION <br /> eJ <br /> DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' " V � "�� <br /> OGAS ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � �/.��FLOOD ZONE AREA �YES I� <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 FEECURRE� Y!N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REG1 o Y/ N FEE CURRE� Y/N <br /> Address License# <br /> J G J � fi -Y� � <br /> OTHER //J �/_ COMPANY <br /> SIGNATURE w���� REGISTERED Y/ N FEE CURRE� Y/N <br /> Address � {��� �(y�� License# � `` 0 6 ( � <br /> 1111•IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> RESIDENTIAL Attach(2)Plot Pians;(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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanifary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERII'SURVEY required for all NEW coristruction. <br /> Directions:, <br /> Fill out applic�tion completely <br /> Owner 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice.of Commencement is required. (A1C upgrades over$7500) q <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(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />