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v,^'�°�.t. �. r - "',M+Y '�:.''x.-.. ... . .. <br /> 81 ":78 Q.., :5 �'� ,� . . <br /> � „. °�' •�it� of Zephyrhills Permit Application Fax-813-780-0021 <br /> . i 'r" � v r � <br /> �a;, ,,i{�,, 9!. <br /> � � 'rC���: � � " . t� Building Department �/�(/('/ <br /> : i�,�:a:..�..��`tt , �� j � <br /> al � <br /> Date Receivdd ' • �''° �� r � ,, phone Contact for Permittin � 3 " G 3 - � <br /> Owner's Name � - +J � � . � 1 i �� � � � I � t' I �J Owner Phone Number ��- �3� �' �'�� �,� <br /> Owner's Address� � _ 3 8( 3� S �k'�!t /yU Owner Phone Number <br /> Fee Simple Titleholder Name � ��.j c �"' �� �� �, �!-�-c' r O Owner Phone Number � <br /> Fee Simple Titleholder Address �-% � (� �i � � ���'� � A • �.e Y� r �, //S, � 33S`�<' <br /> JOB ADDRESS C��"� .�� l p C• _� � S � �� 7 b 1 Al� 7 ��` `,r �� S,� I � 3 S �� 3 LOT # I �- <br /> SUBDIVISION C�'� O c� �c' �- S ,� !�� PARCEL ID# 1 `r—z (s — Z � '- d � � � - 00 (o ��� -� �O <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q 0 DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> --- DE�CRIPI1Qd�F WORK � � �' � r � � t� E'� r 5 -f � � a . <br /> BUILDING SIZE �I 2�� SQ FOOTAGE � 3 2 � HEIGHT C� � <br /> ' BUILDING � $� Z s� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAI� $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> , �, � l <br /> BUILDER � -� �,��� � COMPANY � �n r �•�� ? �SF ��s PPr: � p P <br /> SIGNATURE t/ ''�' <br /> ��„ REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 3� 638 S ot� -' ���1/ �c �� rh, ��5, � 335�/3 License # <br /> ELECTRICIAN � COMPANY =� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address C 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 C 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 Fo�ms; R-O-W Permit for new constructlon, <br /> Minimurn ten (10) woiicing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 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 Facilities & 1 dumpster. Site Work Permit 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 /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500) <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 Application Only) <br /> Reroofs if shingles Sewers Service Upgrades AIC Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />