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u,�-�au-uu�u City ofi Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department /2( Z�"� <br /> Date Received „ � � <br /> Phone Contact for Permittin _ <br /> Owner's Name �(A�S o N �, �' Owner Phone Number � � 3 '`1 q�-'3 3� <br /> Owner's Address G�i�S � �� yl Zr � Owner Phone Number --1 <br /> Fee Simple Titleholder Name S"l c1 SG N 6, L ,,,�, Igj�� Owner Phone Number <br /> Fee Simple Titleholder Address ��'��� �1 L v:� < � -� � �� S L "�3�'�,)._ <br /> JOB ADDRESS 3�1`t8 ✓�P I� L ,�.� C'j` � � L LOT# �� <br /> SUBDIVISION �"�K1r .v Ua V � , PARCELID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN [� [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK N P,,�/ C�x �ri� ��i I.,�d '�X S , a r�. o� <br /> BUILDING SIZE �� /` 3 6 � OTAG HEIGHT <br /> QBUILDING $ � �� TfON OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ A SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ /�/Q/� <br /> ��v v <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> , <br /> BUILDER � COMPANY <br /> SIGNATURE � ���1'L 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 /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �_ <br /> iitti-fi-Ftt <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. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsRarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Pians plus a Life Safery 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 FaciliUes& 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Ptans. <br /> "•'PROPERTY SURVEY requlred for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner 8 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 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(PIoUSunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />