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a��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date ReceiVed ,���' , Qj`� C�l.� _ 0 3,� <br /> Phone Contact for Permitting. <br /> 1 <br /> Owner's Name ��Y�Ce N t rnan Owner Phone Number <br /> Owner's Address �`1�2 l'�G9�� f��UGA Z I1� `�$ �- Owner Phone Number <br /> Fee Simple TlUeholder Name Owner Phone Number <br /> Fee Slmple TlUeholdar Address <br /> JOBADDRESS ���Z �Q�� DIUd Z���'S F�' LOT# � <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTYTAX NOTiC� <br /> WORK PROPOSED e NEwCON57R� ADD/ALT Q SIGN Q [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br />� TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK S Y�re"�r�n� �T�QSS[ h�Q{��(q� 1 fl�e o'�G✓ I 6 S e'�- <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $ LQ OOG VALUATION OFTOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �/�� <br /> OMECHANICAL $ VALUATION OF MECHANICAI INSTALLATION � �� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> ( � <br /> �fhe� COStru C�co1-. p �� ��/'� � <br /> BUILDER COMPANY vL <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> I aadrass 2`�IGOS�(ZS`��I lu}Z �C, �355q License# C 6lo02Z� <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address Lfcense# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGIS�r�D Y/ N �e CuaaEn Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addresa License# <br /> IIIIIIIIIIIIIIIIIIIIItlllllllllllllllllllllllllllllllllllllllllllll <br /> RESIDENT1Al. Attech(2)Plot Plans;(2)sets of Buliding Plans;(1)set of Energy Forms;R-O-W Permft far new construction, <br /> Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facllities 8 1 dumpster,Site Work Permit for subdivisionsRarga projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fartns.R-Q-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Constructfon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanftary Facilitles 8 1 dumpster.Site Work Permit for ell new projects.All commercial requlrements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required far all NEW construcUon. I <br /> Dlrectlons:• <br /> Fill out application completely. <br /> Oxmer 8 Contredor sign back of application,notarized <br /> If over 52500,a Notice of Commencement la required. (AIC upgrades over 57500) <br /> •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />