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a�3aso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received �' � <br /> � �� Phone Contact tor Permitting ��� __ 08� <br /> Owner's Name ( V �. COI�(l'l��Q�.Q ��M�' ' N,�,. Owner Phone Number �3 -�3 � �2� y- <br /> Owner's Address (�1� SRS�} Z�pN ��.,L., Owner Phone Number � <br /> Fee Simple Titleholder Name �� ��S ��( ,�pQ.Q, Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �Z(p i��,SZ� �`�j�,JD, ��pµ ��S � ���Z LO7 # U <br /> SUBDIVISION PARCEL ID# � I'� - �O -OS7� - QZ.t"yQ <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN O MOVE � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER <br /> TYPE OF CON3TRUCTION O BLOCK � FRAME O STEEL � OTHER -� <br /> DESCRIPTION OF WORK �� � (��..t�Q��i-�•"�,����,� �� u�� ��� uN�T <br /> BUILDIN(i 31ZE � SQ FOOTAGE �O� HEIGHT �O � <br /> � BUILDING $ �' �� ` � O <br /> VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ � � AMP SERVICE (� PROGRESS ENERGY a V�I.R.E.0 <br /> � � �,��, <br /> 0 PLUMBING $ N � l _ � ��j <br /> �� '' � (.O '��/�� <br /> � MECHANICAL $ / <br /> VALUATION OF MECHANICAL INSTALLATION �-"-�� <br /> NA ��� �� <br /> Q GAS � ROOFING � SPECIALTY OTHER � <br /> 0 <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO <br /> �.X�S� -� <br /> BUILDER ���0' , COMPANY M,PrhI �ST'R�,TtOI� 0� �LQ'�� <br /> SICiNATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address �P��Tj �jQ ` 'rj�} �S� License# �GC �5�,1"'�Z <br /> ELECTRICIAN * 4 � COMPANY NA <br /> SIGNATURE ' `� <br /> REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> PLUMBER N� COMPANY KA � <br /> SI(3NATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # �- <br /> MECHANICAL N A COMPANY NA <br /> SIONATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address License # � <br /> OTHER �� COMPANY N� <br /> 310NATURE REGISTERED Y/ N FEE CURRENT Y/ N <br /> Address � <br /> 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, 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 Satety 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 8 1 dumpster. 5ite 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 /> Direct�ons <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;5000) <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 Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways .needs ROW <br />