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e�a-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> , Date Received Phone Contact for Pertnitting (3 �Z __ �7 3 � <br /> 1 1 1 1 1 1 1 � 1.1 1 1 1 <br /> Owner's Name 1/Yk�A. ��' Owner Phone Number <br /> Owner's Address � V�1 11�� � Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Num6er � <br /> Fee Simple TitleholderAddress <br /> JOBADDRESS �L D /{ K�(F.�OPr �P, I�� �+Y LOT# � <br /> SUBDIVISION f��C Q� PARCELID# �' �ao�Z��y�'f�^w3� "'���y <br /> (OB7AINE0 FROEA PROPERNTAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br />� PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK Pr�ROO ��1� � <br /> BUILDING SIZE 1 SQ FOOTAGE 1 y•0� HEIGHT � <br /> OBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> /' <br /> Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ �� �, ���� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ^��� (��)�'`� n <br /> G� �'C1L/ <br /> I QGAS � ROOFING Q SPECIALTY � OTHER ` <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY /'` YoV 1. C ' <br /> SIGNATURE REGISTERED / N FEE CURRE� Y/N <br /> Address � l..l,C Yl�h L 3 License� � ����Z, <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License H <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License f� <br /> MECHANICAL COMPANY I <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> Address License tk <br /> OTHER COMPANY <br /> i SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Address License t� <br /> i � teii � ii � � � iii � � � iiiii � iii � � � iii � � � ii � i � � ii � iiiiiiii � i � � � t � i � iii � � <br /> RESIDENTIAL Attach(2),Plot Plans;(2)sets of Building Plans;(�)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies&1 dumpsler,Site Work Permit for subdivisionsllarge projects <br /> COMMERGAL Attach(2)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 after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sels of Engineered Plans. <br /> ""PROPERN SURVEY required for all NEW construction. <br /> Directions:• <br /> Fill out application completely. <br /> Owner&Con[ractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) <br /> " Agent(for[he contractor)or Power of Attomey(for ihe owner)would be someone with nolarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (copy of contract required) <br /> Reroofs if shingtes Sewers Service Upgrades A/C Fences(PlotlSurvey/Foo[age) <br />� Driveways-Not over Counter ii on public roadways..needs ROW <br />