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a�saso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department ,, <br /> � — ...�.._--, i J� <br /> Date Recei..ed � � �/�•� p •—f p ne Contact for Permittln � _ � 3� , <br /> Owner's Name Ue�C�� ///¢N�� 0 Owner Phone Number � <br /> Owner's Address ���33 W'�' �O"f e� �e z���Y�N/S�. � <br /> Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS Gl�il�0/�IoK�� 1/ Ze h �l � LOT# �� <br /> SUBDIVISION �r�l`� �t°l%s� I�ob`� ppRCEL ID# 2'�� 2� � Z�p � �.t�v�� "�� ��� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT �] SIGN � �] DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK [� FRAME [�� STEEL [� <br /> DESCRIPTIONOFWORK /tiC����4 �Rt� WrN�wS s+�/ ���5.� r v G'wr ' C�q-R / o� <br /> BUILDING SIZE �— � ��� � ���� � <br /> SQ FOOTAGE� HEIGHT / LV:n�►tU:��H�C.3d�CY! <br /> �BUILDING $ JL'Ol�, `'G VALUATION OF TOTAL CONSTRUCTION � <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '� Gj�f' � <br /> � <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER (�(�-!�� �// � COMPANY <br /> SIGNATURE `i FZEGISTERED Y/ N FEE CURRE� Y/N <br /> Address ��(p.2q L�+4� a��'�l f�l�f' �'� y� o �l License# �— � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address L(cense# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ 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 CURREA Y/N <br /> Address Ucense# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Fo�ms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construcaon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster;Slte Woric Permit for subdivisions/large 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 construc6on. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 constructlon. <br /> Dlrections: <br /> Fill 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 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />