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eis-�SO-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ��( I <br /> i �� � <br /> )ate Received � � ��� - S � �� <br /> Phone Contact for Permittln l <br /> )wner's Name u`t�/L-S OA,�',� �� £ IY1 -/�/, /�i9�,� Owner Phone Number <br /> lw�er's Address � 0 3� /' �,S/, s�- Owner Phone Number � <br /> 'ee Simple Titleholder Name Owner Phone Number � � <br /> 'ee Simpla Titlehoider Address <br /> IOB ADDRESS G U 3 �' l�{ T. S% LOT # � <br /> iUBDIVISION , PARCEL ID# �a -�G - 2/- c� o Z �-�,o 00 - o o i G <br /> (OBTAINED F� pROPERTY T nce) DEMOLISH <br /> NORK PROPOSED � NEW CONSTR ADD/ALT [� SIGN <br /> INSTALL 8 REPAIR <br /> 'ROPOSED USE Q SFR � COMM �� OTHER <br /> IYPE OF CON3TRUCTION Q BLOCK Q FRAME �� STEEL Q <br /> DESCRIPTION OF WORK � � C�fj��• G/�/�,[� �"�-�,/C � / O 3 o Fi � <br /> BUILDING SI2E �--� gQ FOOTAGE �V� � r <br /> HEIGHT � <br /> QBUILDING $ <br /> ��U Q_v �j VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY <br /> [] W.R.E.C. <br /> QPLUMBING $ <br /> �",� � � C 2� t � ` � l <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY <br /> � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [�YES NO <br /> BUILDER COMPANY �SC° F�Ejt/C� �' O /N C <br /> 51GNATURE <br /> REGISTERED N FEE CURRE� / N <br /> Address ' License # �— <br /> _LECTRICIAN COMPANY <br /> iIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # �- <br /> 'LUMBER COMPANY <br /> i1GNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �_ <br /> IECHANICAL COMPANY <br /> IGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # �- <br /> THER <br /> IGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # �- <br /> ESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Plans; (1) set of Energy Forms; R-O-W Permit for new construction, <br /> Minimum ten (10) wortcing days after submittal date. Requlred onsite, Construction Plans, Stormwater Plans w/ Sitt Fence installed, <br /> Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects <br /> �MMERCIAL Attach (3) complete sets of Bullding 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, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilitles & 1 dumpster. Site Work Permit for all new projects. All commercial �equirements must meet compliance <br /> GN PERMIT Attach (2) sets of Engineered Plans. <br /> ""'*PROPERTY SURVEY required for all NEW construcUon. <br /> �ections: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is requi�ed. (A/C upgrades over 57500) <br /> Agent (for the contractor) or Power of Attomey (for the owner) would be someo�e with notarized letter from owner authorizing same <br /> ER THE COUNTER PERMITTING (Front of ApplicaUon Only) <br /> �oofs if shingles Sewe�s Service Upgrades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />