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• a�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � Building Department <br /> J` <br /> ,� ` <br /> Date Received �'Z1 �y'Z=2'Z�� <br /> Phone Contact for Permittin <br /> Owner's Name �1('yY�p OwnerPhone Number O� 'Zc1S�J 1 <br /> Owner's Add►ess � /"1 � L Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS �l7 � / \�W C`� L�Q LOT# � <br /> SUBDIVISION e�iws�r.l. �S'�}"P.S PARCEL ID# �3�Z6-2�-Ol�i��Da�-0 6 a� <br /> (OBTAINED FROM PROPERTY TA%NOTIC� <br /> WORK PROPOSED e NSTALLSTR B REPAIR � SIGN Q Q DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER Q,oct3-h <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q <br /> ^'- j� P�H R�.#- <br /> DESCRIPTION OF WORK C- � U� �.�"l � V �"� � A H 8� 3�Z6�- <br /> BUILDING SIZE SQ FOOTAGE HEIGHT � <br /> QBUILDING $ VALUATIONOFTOTALCONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> �MECHANICAL $ �`Q� VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY � 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 FEE CURREA Y/N <br /> Address License tt <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> MECHANICAL / COMPANY � � �(� —1_r(C• <br /> SIGNATURE � REGISTERED Y/ N FEE CURREA Y/N <br /> Address � � 1�lT'� �c' � � �706� License�t �C-�3 1 ��3 <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItt1t11t1t1111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minfmum ten(10)working days after submittal date. Requfred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpster,Site Woric Permit for subdivisions/large projects <br /> COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-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 for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMR Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> " Agent(far lhe contractor)or Power of Attomey(for the oxmer)would be someone wi[h notarized letter irom owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs ff shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />