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�,.�-�uu-uu�u City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone Contact for Permittin _ <br /> Owner's Name t�G✓�N`� f��G/I� x£�S liJ S�:•� � �c� .�i�'3 .3 <br /> Owner Phone Number <br /> Owner's Address 3� 2 3�' �"� /� "�` <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 3 7 Z 3 z �� �''�` �� �l� �- <br /> LOT # �� <br /> SUBDIVISION , PARCEL ID# I Z' Z 6' L� ' G 3l b G UC����'' �J ��/C) <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL [� <br /> DESCRIPTION OF WORK ��'f� N U�� � i 1 � w �� P S�d � T S�S�°� �,S�S ��1�'� �,$� /� � <br /> BUILDING SIZE � SQ FOOTAGE � HEIGHT <br /> QBUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ ��` i� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> �12-��� <br /> [�MECHANICAL $ •^' VALUATION OF MECHANICAL INSTALLATION <br /> '7 �:,u i�rr <br /> OGAS Q ROOFiNG Q SPECIALTY 0 OTHER �� � <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address ' License # <br /> ELECTRICIAN COMPANY �"l J� `CGe : c <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL �� „9�►''� COMPANY S ��£/Lr �'l� /✓� ,i ��G� � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address 7�� vv �� dQw �Q ��-� �fL �fln�dt' ' License # �� G �� 7 % �l�Z <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 8 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Fom►s. 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 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 & Co�tractor sign back of application, notarized <br /> If over;2500, a Notice of Commencement is requlred. (A/C upgrades over;7500) <br /> ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized tetter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front ot Application Only) , <br /> Reroofs if shingles Sewer,s, Service Upgrades A1C Fences (PIoUSurvey/Footage) ' <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />