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� s�saao-oo2o City of Zephyrhills Permit Applicatian Fax-813-780-0021 <br /> 8uiiding Department ' <br /> . . <br /> Date Received � ��f /� phone Confact for Permitting — <br /> Owner's Name C S�— � �t R-J.� � Owner Phone IVumber �� ��d'�Q�� <br /> Owner's Address 2 R �,,, �1��{ �j � °`"7" Owner Phone Number � � <br /> Fee Simple Titleholder Name Owner Phone Number � � <br /> Fee Simple Titlehalder Address <br /> JOB ADDRESS 2� � d f't" LOT# �� <br /> '; SUBDIVISION PARCEL ID# <br /> i� (OBTAINED FROM PROPERTY TAX NOTICE) <br /> i� WQRK PROPOSED e NEw CONSTR 8 ADD/ALT � SIGN Q [� DEMOLISH <br /> � INSTALL REPAIR <br /> �� PROPOSED USE Q SFR Q CQNIM � OTHER �.t 7 �s=- �- t " �^' <br /> o�� <br /> �� TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> �� DESCRIPTION OF WORK �^�'t�l\ �'�^-' (/ �'e 1 Q��� �'' "S' e �°�°C <br /> �� BUILDING SIZE �� _ � SQ POOTAGE[__� HEIGHT <br /> ! <br /> ,� �BUILDING � Z`yt,q o v VALUATIQN OF TOTAL CONSTRUCTION <br /> t� <br /> Ifi QELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.G: <br /> � <br /> � OPLUMBING $ <br /> '� �]MECHANICAL $ VAI.URTION OF MECHAMCAL 1NSTALtAT[ON '`c� � �l�� <br /> �� l <br /> a <br /> , <br /> f OGAS Q i20QFING Q SPEGIALTY 0 OTNER <br /> i <br /> '� FlNISHED FLOOR ELEVATlONS � � FLOOD ZONE AREA QYES. NO <br /> �' ....,, .. <br /> � <br /> ;� � � <br /> � BUILDER COMPANY � M�. ,�-�n., �rC< " � �° � <br /> � StGNATURE REGISTERED N FEE CURRE� Y/N <br /> Address Licerise# ��"_L�,' '� Q. �'� <br /> � ELECTRICIAN COMPANY <br /> � SlGNATURE REGISTEFtED Y/ N FEE CURRE� Y/N <br /> � Address License# � ��� <br /> PLUMBER COMPANY <br /> StGNATURE REGISTEl2ED Y! N FEE CURRE� Y/N <br /> � <br /> Address . License# � � <br /> , MECHANICAL COMPANY <br /> i SlCaNATURE ftEGtSTEl2ED Y/ N FEE CURRE� Y/N <br /> � Address License# �_ � <br /> � <br /> ' OTHER COMPANY <br /> y SIGNATURE r•e�isTEtzEo Y! N FEE CURRE� Y/N <br /> � Address License# �^ <br /> G <br /> i' - <br /> r,_ RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten{10)working days after submitta!date. Required onsite,Construction Plans,5tormweter Plans w/Silt Fence installed, <br /> ;: Sanifary Facilities&1 dumpsfer;S'ste Work Permit for subdivisionsllarge projects � <br /> � COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor new constn.action. <br /> Minirrtum ten{1Q}working days after submitta!date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanifary Facilities&1 dumpster.Site Work Permit for atl new projects.All commerciat requirements must meet eomptiance <br /> - SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> **"PRQPER7Y SURVEY required for aii NEW constructian. <br /> Directions: <br /> Fit!out appl�cation cpmpletely. <br /> Owner 8�Contractor sign baak of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> '* Agent(for the contraetor}ot Powee of Attomey(for#he owner}would be someone with notarized tefter from owner autharizing same <br /> OV.ER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shing(es Sewers Service Upgrades AlC Pences{PtottSurveylFoatage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />