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u,�-�nu-uuzu City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Recelved � - � - / � <br /> Phone Contact for Permitting _ <br /> � <br /> Owner's Name �� q� � "c suG G Owner Phone Number <br /> Owner's Address �0� Q f'lOre Avd u►I�t /�O�- � � Owner Phone Number pn - . J� <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �p O Q� Q( ( U U/""' ^ I'f /�.S' � d LOT # �� <br /> SUBDIVISION � d�� � , PARCEL ID# �^� ""�"'00/B-00000� po/p <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK /�lG 4'n/ GR - C Qrl G aCC ( � �o�t Gt,/'/� pn �' � pq�. <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> QBUILDING $ � <br /> VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ ��b ��/ � <br /> J�� c l{!� �._._ <br /> [�MECHANICAL $ �,, oe VALUATION OF MECHANICAL INSTALLATION �� -'--"-'--- - <br /> —3 . � � t/5 1 <br /> OGAS Q ROOFING Q SPECIALTY C� 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 <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> PLUMBER COMPANY <br /> 81GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> MECHANICAL . COMPANY �.�Q.(�CCO G Q�tlCCi �y�� <br /> SIGNATURE '' REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address / �(,f�Q'J"� G' - �►/�G License# L <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) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Pem►it for subdivisionsRarge projects <br /> COMMERCIAL Attach (3) complete 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, 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 conslrucQon. <br /> Directions: <br /> Fiil 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;7500) <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 shingtes Sewers Service Upg�ades A/C Fences (Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />