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a�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � ' Building Department <br /> , Date Received ��" s�7 - 8J G' <br /> Phone Contact for Permittin�q _ _ <br /> , -1 1._�'�__,_�_'_,. ITr-1 <br /> Owner's Name K h (' Q�(�S es Owner Phone Numher T��'� �a � � <br /> Owner's Address J a Cl�� CL•� h�C Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOB ADDRESS � T�� Ca. � �. LOT# � <br /> SUBDIVISION PARCEL ID# '� 30 G ^Q I� <br /> (OBTFUNED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CON57� ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL 0 <br /> DESCRIPTION OF WORK L �O <br /> BUILDING SIZE SQ FOOTAGE S T66 HEIGHT I .Y�'O� <br /> -r� � � � � � � � � � � � � � e � � � r� � t � � � r�T <br /> QBUILDING $, O^` VALUATION OF TOTAL CONSTRUCTION <br /> V <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. ^ � <br /> � (lJ <br /> �PLUMBING $ �� / <br /> 'L./ <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY �' `������ =nC. <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ <br /> Address � License# CC.C. � ��pai3 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> 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 /> � � e � � � � � � � � i � � � � i � � � � � � � � it � � � � � � � � t � � � � � � � � � � i � i � � � � � � � � � i � � � � s � � � <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 aker submittal date. Required onsite,Cons[ruction Plans,Stormwater Plans w/Silt Fence instailed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach(2)complete sels of Building Plans plus a Life Safety Page;(1)set of 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 installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.AII commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. I <br /> "'"PROPERTY SURVEY required for all NEW construction. <br /> Directions:• ' <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement Is required. (AIC upgrades over$7500) <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 conVact required) <br /> Reroofs If shingles Sewers Service Upgrades AIC Fences(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />