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e��-�ao-oozo - City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> j Date Received � / ��,j ��p� _(Q z.l�j z, �f- <br /> J Phone Contact for Permitting <br /> 1 1 1 t 1 1 1 1 1 I 1 1 1 <br /> �osi6c Cot�{�ottR`t� a -a :� �r $ _�g _557`l <br /> Owner's Name � L ?.� 2 Z[� ��.. Owner Phone Number <br /> Owner'sAddress JDo�� 5� U�/yG� �PRI �Lg f'Sy�`OwnerPhoneNumber <br /> Fee Slmple Tftleholder Name 1 Y�� Owner Phone Number <br /> Fee Slmple Titleholder Address <br /> JOBADDRESS 3g3o0 ST"E�vE �Z� F� 33sy� LOT# � <br /> SUBDIVISION PARCEL ID# `I-d�l��d�I—OO�� "l V S OO'OO�O <br /> (OBTAINED FROM PROPERN TA7(NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ...-Om C.L IL �`�WO F N�'7 P'�Y V��47 <br /> � BUILDING SIZE SQ FOOTAGE I� OOOSa HEIGHT dV' <br /> `/��� `�� QBUILDING $C)���O'� VALUATION OF TOTAL CONSTRUCTION <br /> /� D <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � I � � v� <br /> QGAS � ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# <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 PRfL?�57ow (�OoFH�G SO«��o�ss, �. <br /> SIGNATURE i REGISTERED Y/ N FEE CURRE� Y!N <br /> Address 0�(��.7� S� 1 ll� �C- 336$$ License# �C> �JJ7 1 � <br /> I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I til 1 1 I 1 1 1 I 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 I I 1 1 1 1 1 1 1 1 I I 1 <br /> RESIDENTIAL A ach(2 PI t Plans;j2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, <br /> Mi u ten(10)working days after submittal date. Required onsite,Construclion Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanita Facil iesB�1 dumpster;Site Woric Pertnit for subdivisions/large projects <br /> COMMERCIAL Attach(2)complete sets 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. � <br /> DirecNons:• <br /> Fill out application completely. <br /> Owner 8 ConVactor sign back of applicaGon,notarized <br /> If over§2500,a Notice of Commencement is required. (A/C upgredes 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 COUN7ER PERMITTING (copy of conVact required) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW II <br />