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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> )ate Received �� 25 �� Phone Contact for Permittin 2� — y� C/ <br /> hvner's Name C.vC�� S Msr� Owner Phone Number � l3 - � - 15- I� y� <br /> hvner's Address � U y (/ r"I C�-1/'� �� ���IK�-�S ,3 . Phone Number <br /> °ee Simple Titleholder Name Owner Phone Number <br /> 'ee Simple Titleholder Address <br /> IOBADDRESS � 0 Vl"IGU� T• Pp17/C�Isu-s 33 yU �� <br /> LOT # <br /> 3UBDIVISION A�-P�Q" �J.�MC�� �T ' pARCELID# �� — ��V — O�}�D—v�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> JVORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> fYPE OF CON3TRUCTION Q BLOCK � FRAME [� STEEL Q <br /> DESCRIPTION OF WORK � R � P r � �MPlqG'r Vt,I1NOdWC AA/p I 2M /� T $(ZOLNG 4 ��OO�L� O <br /> BUILDING SIZE SQ FOOTAGE �� HEIGNT <br /> QBUILDING $ Q�Q VALUATION OF TOTAL CONSTRUCTION <br /> 0 U <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> OPLUMBING $ ?j�l � <br /> —� '�� c ��� � <br /> � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION /%j� )��-� P ,J �� <br /> L� � C'u��" <br /> QGAS Q ROOFING Q SPECIALTY [� OTHER �3) �r <br /> V <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N� <br /> BUILDER �_ ���� � COMPANY �� � UL � �g � �s�R . �uC . <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 /> 51GNATURE REGISTERED Y I N FEE CURRE� Y/ N <br /> Address License # � —� <br /> MECHANICAL � COMPANY <br /> 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # �— <br /> �THER COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> 2ESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, <br /> Minimum ten (10) wo�lcing days after submlttal date. Required onsite, ConsUuction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsAarge projects <br /> :OMMERCIAL 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 instalied, <br /> Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> i1GN PERMIT Attach (2) sets of Engineered Plans. <br /> '"""PROPERTY SURVEY required for all NEW construction. <br /> )irections: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over 52500, a Notice of Commencement is required. (A!C upgrades over 57500) <br /> ' Agent (for the conUactor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same <br /> )VER THE COUNTER PERMITTING (Front of Application Only) <br /> ;eroofs if shingles Sewers Service Upgrades A/C Fences (PlodSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />