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�,.�-�au-u��zu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Re�eived • , _ <br /> Phone Con#act for Permittin � l 3 ?(� _ CU �3 ?� <br /> Owner's Name S�' M�-yE� Owner Phone Number L� l 3� ���' �4 N� <br /> Owner'sAddress ���� I� s'}. zEPrtyeMl��S r ;�� � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � L l 11 1 C`~ S-t- , Z e PNV �N��.1.5 i .v 1� ;� 7`i �-1 a LOT # � <br /> SUBDIVISION , PARCEL ID# � � ��'�� � ��' � � � u _ � � c v <br /> (OBTAINED F�RO�M pROPERTY T r�cEl DEMOLISH <br /> WORK PROPOSED NEW CONSTR ADD/ALT [� SIGN <br /> INSTALL � REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q� FRAME [� STEEL [� <br /> DESCRIPTION OF WORK �C7�'� 15 Ao=�cr�c N R1-+O (�ek'�-�C.t,�n�.ur �- �c,q�,q(.-�co t,�; q�LS <br /> BUILDING SIZE t d'` i� SQ FOOTAGE 15U � <br /> HEIGHT � <br /> �BUILDING $� � vL�� VALUATION OF TOTAL CONSTRUCTION <br /> DELECTRICAL $ AMP SERVICE � PROGRES Ef2�Y Q W.R.E.C. <br /> OPLUMBING $ /�/���j �/`�/' <br /> / U �� L�� <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTAL <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> ���� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER r���� COMPANY �'``M'�'l� CCr''lQ'u'�T�v�i -LNC'• <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 5 6`<<� S�' "-S`'� , Z�'f'�y ��'• �>, 1�L �55`I� License# � �L � Sl � � �] <br /> ELECTRICIAN � � COMPANY � �'`�'T t � � �-�-���" , - N � • <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address � � �.�� License # �C f� d U(� b <br /> PLUMBER - �� � � COMPANY fl � n'�' J �• \\ < <-�''C� s t�� k� �', �� ; 1- � <br /> SIGNATURE "; J�"�`�'� �� REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address (i �'` � Z <br /> S/ � ^� � Z- License # C � ^^ <br /> MECHANICAL � COMPANY �1 "' e�. �; c.cs T �+C <br /> SIGNATURE REGISTERED Y/ FEE CURRE� Y/ N <br /> Address ��� � � Zd Z ' ►4� �. � � License # <br /> OTHER � J n � � <br /> COMPANY �'r1.t J�`'�' '� �-L � C• <br /> SIGNATURE ` REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ��� ��'-� S2 � `� �� ' ,�h. ���, e-L z k( License # �-�- G I 1 J �,�j „� � � <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) complete sets of Building Plans pfus 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 construcUon. <br /> Directlons: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over SZ500, a Notice of Commencement is required. (A/C upgrades over 57500) <br /> *' Agent (for the contractor) or Power of Attomey (for the awner) 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 (PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />