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a�a-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> � � Building Department <br /> Date Received ��-- Phone Contact for Permittin — <br /> Owner's Name I.I�Q,YI. GlU � Owner Phone Number d(� r l�'" ,�j a <br /> Owners Address �� 3 ✓ I'TTr �`S ; Ze�hy ✓hii lS 3�54 pi,rner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 5�.3 � � `C� �� ) Z-�� ✓ hl � `S 335 �- �-- LOT # � <br /> SUBDIVISION � �ARCELID# �! ����°�� `v��v� ��'a " <br /> �OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONS7R 8 ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q <br /> DESCRIPTION OF WORK �I�O O Q"� Y �JQ C ��C-Q� �""� � ,�`� <br /> BUILDING SIZE � � SQ FOOTAGE � HEIGHT <br /> �UILDING $ � D O VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRtCAL �� AMP SERVICE Q PROGRESS RGY Q W.R.E.C. <br /> 1 <br /> QPLUMBING $ / /� J L{ <br /> � �` �? <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTAL TION <br /> � J <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY W (� � � <br /> SIGNATURE '✓ REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> EI.ECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # <br /> PLUMBER � � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N <br /> Address License # � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y J N FEE CURRE� Y/ N <br /> Address License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N <br /> Addreas License # <br /> RESIDENTIAL 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) woricing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Woric Permit for subdivisionsliarge projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Pertnit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence instalted, <br /> Sanitary FaciliUes & 1 dumpster. Site Work Permit for all new projects. Ail 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 & Contractor sign back of application, notarized <br /> If over:2500, a Notice of Commencement is required. (A!C upgrades over s7500) <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 shingles Sewers Service Upgrades A/C Fences (PIot/Survey/Footage) <br /> Driveways-Not over Counter if on pubiic roadways..needs ROW <br />