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s�s-7so-oo2o City of Zephyrhills F'ermit Application rax-�,s-�nu-uuz� <br /> Building Department <br /> Date Received 3- Z�-- �� phone Contact for Parmittin ' <br /> � Name �' ✓`n tl' ph `� 1 S 1 Y'O � ✓ Owner Phone Num er ► ao� -as� -,3s �� <br /> �Owner's Address 33 y� YYl0. �a �-h �'�'�'- �✓ Z�ph�rh �/(S �- Owner Phone Number <br /> Fee Simple Titlehoider Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> �- JOB ADDRESS 3 ` 3 �O mQ�c^� 1�� �' 1 �P� y f h � �� S� LOT # � <br /> '' SUBDIVISION �'�'��ra� C� �o�n�-� , PARCEL ID# 'w � � D � � <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADDlALT Q SIGN Q Q DEMOLISH <br /> e INSTALL REPAIR <br /> PROPOSED USE [J� SFR Q COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTIONOFWORK D Q�`tr exl rlcj �, lrl�+'1Jr-' �Vf on Lat 7'h� fc�(Ya��� IS n�c�SSct,iJ <br /> v r,�l�nur_ ras�l�i> � o� e Q ., .1� <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> Cy �BUILDING $ � � � � °-_°_ VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS F,�IERGY Q W.R.E.C. <br /> QPLUMBtNG $ "� �I�� <br /> . <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � �� <br /> � � ��� <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER ��,) �� <br /> W <br /> FINISHEO FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ,'_ w <br /> y�N 1 <br /> BUILDER ( n �' COMPANY � ��l G (/�/� � <br /> SiGNATURE � V� REGISTERED Y/ N FEE CURRE� 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 Ucense # <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, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdlvisionsllarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safery Page; (1) set of Energy Forms. R-O-W Permit for new construction. <br /> Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary FaciUties 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 construcdon. <br /> Directions: <br /> Fill out application completely. <br /> Owner & 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 Application 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 />