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s�s-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> . Buiiding Department <br /> Date Received <br /> Phone Contact for Permittin <br /> Owner's Name /n 0 � San � C 2Gc Owner Phone Number ��3 yl 9-9G y� <br /> Owner's Address 3�9 a c� 5'�' f}uf'. 335�/0� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder'Address <br /> JOB ADDRESS �"J�o2� S� U['. F � �J J S �L 33S�a LOT# �-3 <br /> SUBDIVISION ��f7o�zFp� 2},;IfS PARCELID# ��'aG-al-oolU- 1��/ov- ool� <br /> (OBTAINED FROM PROPERTY iA%NOTICE) <br /> WORK PROPOSED NEW CONSTR, ADD/ALT Q SIGN Q Q DEMOLISH <br /> INSTALL B REPAIR <br /> PROPOSED USE SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTIONOFWORK 2E�o L �.a�1S5 c,. �� c L� �03 �-��rifrc� 5h'^���5 <br /> BUILDING SRE SQ FOOTAGE� HEIGHT C� LFG�������� <br /> 51��r- /�ia <br /> BUILDING $ C�/�,G U VALUATION OF TOTAL CONSTRUCTION <br /> (ZOOF J <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ � ^ �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � (� � <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ,�� COMPANY � �' �003�I1r, O c`SS� .-� IS <br /> SIGNATURE D��`'�� REGISTERED Y/IN FEE CURRE� Y/N <br /> Address ✓�,3�'/�i � �c� L 3�1G5'o l.icense# GCGJ3d�7a?O <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Llcense# <br /> PLUMBER COMPANY �— <br /> SIGNATURE REGISTERED Y/ N FEE CURREA 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 /> IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111 <br /> RESIDENTIAL Attach(2)Plot Pians;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days aker submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set oi Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> •••'PROPER7Y SURVEY required for all NEW conslruction. <br /> Direct�ons:• <br /> Fill out applicaUon compietely. <br /> Owner 8 Contractor sign back o(application,notarized <br /> If over$2500,a Notice of Commencement Is required. (A/C upgredes over y7500) <br /> •' Agent(tor the contractor)or Power of Attomey(for the owner)would be someone with notarized lerier from owner authorizing same � <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingles Sewers Service Upgrades.A/C Fences(PIoVSurvey/Footage) <br /> Drlveways-Not over Courrter if on public roadways..�eeds ROW <br />