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a�sasa-oozo City of Zephyrhills Permit App(ication Fax-813-780-0021 i <br /> : ; Building Repartment • <br /> I <br /> Date Recelved Phone Cantact for Permitting — � <br /> i <br /> Owner,s Name �f}� � � l �50.+� Ow e u ber �'"7�''� �{ i <br /> � p/,., (� '���C�'�� vn` ' I <br /> Owner's Address �J ` �tJ U �2 , r �S `0"wner Phone Number �°�� �/oZ'�� '���~ , <br /> Fee Simple Titleholder Name Owner Phone Number �j�� �a y..z��-�o q c�� � <br /> � <br /> Fee Simple Titleholder Address ! <br /> JOB ADDRESS � i �D�� U�q(n��. �� 2�' �1 � l �I 3 '�S G LOT# [_� � <br /> ��1� � <br /> SUBD1VtSION �'�'YtEr�q(� ���,/� �tJ�k�c;1V�PARCELID# � <br /> (OBTAINE�FROM PROPERTY TAX NOTICE) I <br /> WC}}2K PF20P{}SED � NEW CORtSTR e ADD/ALT � S(Gid Q Q DENIOLlSFi ' <br /> INSTALL REPAIR � <br /> ' PROPOSED USE � SFR Q COM{Ul � QTFlER i <br /> TYPE OF CONS7RUCTION BLOCK Q FRA E 0 STEEL Q � <br /> y� / I <br /> , • DESCRIPTION QF WORK � U �� G � �O <br /> •_ BUILDING SIZE �— � SQ FOOTAGE� HEIGHT ��4� , <br /> � <br /> , �BUILDING � i'1(,�f� �- VALUATION OF TOTAL CONSTRUCTION � <br /> 0�' (, i <br /> ,. �EZECTRICAL �$'> � AMP SERVICE 0 PRQGRESS ENERGY Q W.R.E.C. _ <br /> L <br /> OPLUIVEBING �_---_r� � <br /> ����J����� <br /> QMECHAtV�CA� $ VA�UAZi�N OF MECNANICAt�INSTALEATIaiU � � <br /> „�f��( °� <br /> QGAS Q ROOFIiUG Q SPECIA�TY 0 CITHER � <br /> FINISHED FLOOR ELEVATIONS r� � FLOOD ZONE AREA QYES NQ i <br /> L <br /> �� � . <br /> BUILDER ��C�MPANY � �(�J �C�.•U` <br /> SIGNATURE �, REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> - ELECTRICtAN COMPAWY <br /> SIGNATURE �R@GISTERED Y/ N FSE cur�en Y/N � <br /> .. ,......,,_,,._„_.,,_ E <br /> t Address License# r— � � <br /> i <br /> � <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � <br /> Address License# r— � � <br /> I <br /> � <br /> MECHANICAL COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i <br /> � <br /> Address License# � � � j <br /> OTHER _� COMPANY <br /> SIGNATUI2E � REGISTERED Y/ N FEE CURRE� Y/N <br /> , Address License# � � <br /> � RESIDENTiAL Attach(2}Plot Plans;{2}sets of Building Plans;{1}se#of Energy Forms;R-O-W Permit for new construction, � <br /> Minimum ten(10)working days after submittal date. f2equired onsite,Construction Plans,5tormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster,'Site Work Permit for subdivisionsflarge projecfs ' <br /> CQMMERCtAt Attach(2}comptete sets of Building Plans ptus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faciiities&1 dumpster.Sife Work Permit for al(new pro3ects.All commerciai requirements must criest complaance ; <br /> , SIGN PfRM1T Attach(2)sets of Engineered Plans. <br /> "*'*PRQPERTY SURVEY required for all NEW construction. � <br /> Directions: <br /> Fill out application completely. <br /> Owner F�Gontractoc sign back af appltcatian,natarized ` <br /> If over$2500,a Notiae of Cammencement is required. (A/C upgrades over$7500) � <br /> "` Agent{for the contractor}or Power of Attomey{for the owner)wauld be someane with natarized letter from owner authorizing same T � � <br /> OVER THE COUNTER PERMITTING � (copy of contracf�required) � � � <br /> Reroofs if shingles Sewers Service Upgrades A!C Fences{Plot/Survey/�ootage) � <br /> Driveways-Not over Counter if on public roadways..needs-ROW _ • � "' <br /> E <br />