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tS13-/tSU-W'LU �;ity of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 6.' I, xj �� j c` �/ �� <br /> Phone Contact for Permitting � 00 __ � <br /> Owner's Name I �?^ 1 <%� n!^ l� � Owner Phone Number ��)' U" h� Q� <br /> Owner's Address (�) %� � (9��s �l /"✓ ��1� � /1 • / � v <br /> Owner Phone Number �(K� " � <br /> Fee Simple Titleholder Name �� ��`�� M�1.�G�^G-� c�(„ pwner Phone Number ��?" 7�f �� Z � <br /> Fee Simple Titleholder Address 7i S j �.l! 1� l� 1 t/ � 2 � ��� � l� �S'(� 1.� <br /> JOB ADDRESS 9 y 7 (9-4 ( /� �(/C,(� LOT # �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD/ALT �� SIGN �] [� DEMOLISH <br /> INSTALL � REPAIR <br /> PROPOSED USE � SFR Q COMM � OTHER � y � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ��� �� 1 S� � l� �� Wvi,l ( "�Z� ��U � f j f 2 1�(,Cil �� <br /> BUILDING SIZE �^ SQ FOOTAGE �� HEiGHT U� <br /> BUILDING $ VALUATION OF TOTAL CONSTRUCTION 5—�� �'� �` <br /> .� 9vv �/����--�---__ -- --� <br /> ELECTRICAL "'� <br /> 0 $ AMP SERVICE � PROGRESS ENERGY Q W.R. <br /> [�PLUMBiNG $ -_ `-- ��/� <br /> 1 oP <br /> / <br /> QMECHANICAL $ VALUATION OF MECHANICAL NSTALLAT --- { <br /> OGAS Q ROOFING Q SPECIALTY �� OTHER �( ,y /� [�,� <br /> �' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER ��-�: _/,�, � /1 , COMPANY E, r ��u [;�A�$'�', ��, <br /> SIGNATURE �� + � REGISTERED Y/ FEE CURRE� Y/ N <br /> Address 5' � a o�;s iQ//��v ,'�.� �� 1�� //� License # C n�C� u7�7a� <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 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, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach (3) compiete 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, Stortnwater Plans w/ Siit Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work PeRnit 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 /> 7111117r1111�r�� �rr� � � <br /> Directions. "" " <br /> Fill out application completely. <br /> Owner 8 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 A/C Fences (PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />