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e��-�saoozo City of Zephyrhills Permit Application Fax-813780-0021 <br /> Building Department <br /> . ' � �p 3 Z� <br /> Date Received �`// � phone Contact for Permitting �J�3 ��6 �✓w " <br /> 1 1 1 1 1'1 1 1 1 1 1 1 1 <br /> Owners Name 1�{� � 1�11'1�b✓� Owner Phone Number �"�T�"5� -1 <br /> Owner'sAddress 7� ��ST, 'fN�� S i�'L Owner'PhoneNumber <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Y� � f��� S �L ���� LOT# � <br /> SUBDIVISION PARCELIDk �����' �" /�-�L/7L.Rl ��� <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK Q FR,4ME 0 STEEL 0 <br /> DESCRIPTION OF WORK �S�c.t�i) �C�u7��l c�ca,{ Yc/1/}e� S�I'�'1 �'1 ��CC <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT � <br /> QBUILDING $��/'-� VALUATION OF TOTAL CONSTRUCTION <br /> L./ <br /> DELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ���`���'1 o ji��a� """`�/�- <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /YOC � ��� <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER �� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> �� <br /> BUILDER �` �� �vCOMPANY S�v � �tt�`2(i�` <br /> SIGNATURE REGI57ERED Y/N FEE CURRE� Y/N <br /> Address +� C7 � License# G�r � <br /> ELECTRICIAN �-P��'p/1 �Y{-(1.Qi � e� �(, COMPANY `(.,� �l�l G� � `���" i �� �°' <br /> SIGNATURE REGISTERED Y/N FEE CURREA Y/N P�� <br /> Address S � L � 1�� License# �G- ����� <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/N FEE CURREf� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y!N FEE CURRE� Y/N <br /> Address License# <br /> IIIIIIIIIIIIIIIIIIIItlllltlllllllllltltlltlllllllllllllllllllllllll <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence installed, <br /> Sanitary Facilities&'I dumpster;Site Worfc Permit for subdivisionsAarge projects <br /> COMMERCIAL Ariach(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. Requlred onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Ariach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaGon,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 PERMIT'fING (copy of contract require� <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on pubtic roadways..needs ROW <br />