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a�s-?eo-oozo City of Zephyrhills t�ermit Application rax-uie-itsu-uuzi <br /> Building Department <br /> Date Received Phona Contact for Permittin _ <br /> Owner's Name �r/ �1�1�FGV �£��u �J1yFS� Owner Phone Number �� 7 83 - a 7° 9��y � <br /> Owner's Address T 7�/ � S�� �7', 2{�'���5, �"��- 3�'� • Owner Phone Number � T6 ' 7'� 6– �� /� � <br /> Fee Simple Titleholder Name � Owner Phone Number <br /> Fee Simpie Titleholder Address <br /> JOB ADDRESS � 7 T ' S'�'�'� Z�►���� L 33 s�.� ' LOT # �� <br /> SUBDIVISION ����f �� ��S%oi✓ , pARCELID# �� ab �/-0�/o -0�'ap- DD�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q <br /> DESCRIPTION OF WORK GII��/✓/,O fi��•f <br /> BUILDING SIZE �7^' �J�_ SQ FOOTAGEC� HEIGHT <br /> OBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY C] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER �� COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address �� � L� 331"5�.1 �Ytl 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 # r � <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 /> 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 after submittal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) 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 Facilitles & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Ptans. <br /> "'"PROPERTY SURVEY required for all NEW constructlon. <br /> Dlrectlons: <br /> Fill out application completely. <br /> Owner 8 Confractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C 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 (Front of Applicatlon Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />