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s��-�aaoozo City of Zephyrhills Permit Application Fax-813780-0021 <br /> � Building Department <br /> � Date Received f� phone Contact for Permitting <br /> T7 �i 1 �, G— !� �tG ¢` <br /> . Owner's Name �Tt L�O�� I�A�n� Owner Phone Number t���J~ `o� �o` <br /> Owner's Address �1� l��� Owner Phone Number i <br /> Fee Simple Trtiehoider Name Owner Phone Number Ii <br /> Fee Simple Titleholder Address <br /> JOBADDRESS `��"C� ��`U \ C�\ • LOT� � <br /> SUBDNISION �V� !� PARCEL IDM �OC I � , <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NEW CONS7R� ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM Q OTHER <br /> TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK �.Q,,1 u t �CLJ � �C <br /> BUILDING SIZE S�FOOTAGE� HEIGHT <br /> QBUILDING $�� f�r VALUATION OF TOTAL CONSTRUCTION <br /> �J <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> PLUMBING <br /> � $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �� ( O� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO <br /> I BUILDER COMPANY {� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N �� <br /> ,�V�1 ` _,,,� <br /> Address License# �. rl�Mt� <br /> � �5�,., <br />, S GNATUR'E N •� `�R O sP�xeo Y� Fe�uRr�n� Y/N��� Y <br /> � ` . Address IY�`'< < � V'�`� License# � �Q �� <br /> f�� PLUMBER COMPANY <br /> 1 SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> 11111111111111111111111111111111111111111411111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(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,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsRarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All'coinmercial 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 applica6on completely. <br /> Owner 8 Contractor sign back of application,notarized <br /> If over S2500,a Notice of Commencement Is required. (A/C upgrades over S7500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone wiih notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMI'fTiNG (copy of contrad required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> DdvewaysNot over Counter if on public roadways..needs ROW <br />