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a�saso-oozo City of Zephyrhills Permit Applic ' Fax-eisae -ooz� <br /> Building Departmenl • <br /> f Date Received Q� �� phone Contact for Permitting <br /> Owner's Name <br /> �Q'�"L[/? J'o C.c a,�J Owner Phone Number ` �� (' � �� � <br /> / d e�- �1'�C , <br /> Owner'sAddress �� �/Z ��� � !h ��OwnerPhoneN��6e <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS (/ � � 7 '� /��_ LOT# [ � 3 <br /> SUBDIVISION �!�"��rGvG J PARCEL ID# l�" � ' Zl-D D��'l('�U�}Q d l ' <br /> BTAINED FROM PROPERTY TAJC NOTICE) <br />_ WORK PROPOSED NEW-C� N Q � DEMOLISH <br /> INSTAL <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK J �Q d IJ�(�vl� 1 S� �i`�$ � � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> OBUILDING $ h,O ��+ VALUATION OF TOTAL CONSTRUCTION <br /> +GD 7 <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ r��I r � <br /> � I \O <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / <br /> //'� �� � <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER V �N� / <br /> U �l"' �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> v <br /> BUILDER • MI�POAN� �L � <br /> SIGNATURE REGISTERED Y I N FEE CUFiREf� Y/N <br /> Address r.�/8 IGI�'6 �fi�r►L./J�� Ct �L' �3G LlLicense# C e/v�� � � <br /> �a <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <br /> 1 1 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 1 1 1 I 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new cons[ruction, <br /> Minimum ten(10)working days.afler submittal dale. Required onsite,Construction Plans,Slormwater Plans w!Silt Fence inslalled, <br /> Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsRarge projects - �� <br /> COMMERCIAL Attach(3)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 afler submiltal dale: Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets o(Engineered Plans. � <br /> "'•PROPERN SURVEY required for all NEW conslruction. <br /> Directions:, <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If aver$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for the contractor)or Power of Altomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fronl of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br /> L <br />