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a�a-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received � �,�- 27 Z m � � <br /> Phone Contact for Permittin _ <br /> hvner's Name �4 j� rj � F � Owner Phone Number �S �.3 �2 2 y72 �. <br /> Tnrner's Address .�/ ( N� ��GI�G_ /� /-� `J�r , pymer Phone Number � S'' "�� <br /> 'ee Simple Titleholder Name � Owner Phone Number �'� �7 � • <br /> 'ee Simple Titleholder Address <br /> 108 ADDRESS -�� �'` �T ZG <br /> LOT # <br /> 3UBDIVISION s���/� y yo�caW Mor�u. �'c <br /> PARCELID# <br /> (OBTAINED FR pROPERTY T rice) DEMOLISH <br /> IVORK PROPOSED B NEW CONSTR ADD/ALT � SIGN <br /> INSTALL 8 REPAIR <br /> PROPOSED U3E Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q --� <br /> DESCRIPTION OF WORK I"C�� aLl� G�,'kLL ,� �� f'��R �'�g/�Cj �P�A2 S'�{!{ Q�. � <br /> BUILDING SIZE SQ FOOTAGE � HEIGHT <br /> OBUILDING $ <br /> �� � � VALUATION OF TOTAL CONSTRUCTION <br /> [�]ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY <br /> [� W.R.E.C. <br /> QPLUMBING $ <br /> � �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '.� <br /> QGAS Q ROOFING Q SPECIALTY <br /> � OTHER <br /> = 1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 3UILDER COMPANY d wNL'� <br /> iiGNATURE _.------�'' ' <br /> � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License J� <br /> :LECTRICIAN COMPANY <br /> �IGNATURE <br /> REGISTERED Y/ N FEE CURREA Y/ N <br /> Address <br /> License # <br /> LUMBER COMPANY <br /> IGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> Ucense # <br /> ECHANICAL COMPANY <br /> IGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> License # <br /> I'HER COMPANY <br /> GNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address <br /> Llcense # <br /> :SIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construcHon, <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 subdivlsionsAarge projects <br /> �MMERCIAL Attach (3) complete sets of Building Pians plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new consUucUon. <br /> Minimum ten (10) working days after submittal date. Requlred onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for ali new proJects. All commercial requirements must meet compliance <br /> :N PERMIT Attach (2) sets of Engineered Plans. <br /> ' SURVEY required for all NEW consUuction. <br /> ections: <br /> Fill out applicaGon completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over:2500, a Notice of Commencement is required. (AJC upgrades over s7500) <br /> Agent (for the contractor) or Power of Attomey {for the owner) yrould be someone with notarized letter from owner authorizing same <br /> _R THE COUNTER PERMITTING (Front of Applieation On1y) <br /> �ofs it shingles Sewers Service Wpgrades A/E• Fences (PIoUSurvey/Footage) � <br /> Driveways-Not over Counter if on public roadways..needs ROW ,' <br />