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e�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received g�� z�'� /O� <br /> Phone Contactfor Permitting <br /> 1 1 1 1 I 1 1 1 1 1 I 1 1 <br /> Owner's Name .J /'�(J/ � f� Owner Phone Number <br /> Owner's Address Ownar Phone Number � <br /> Fee Simple Titleholder Name Owner Phorro Number � <br /> Fee Simple Titleholder Address � <br /> JOBADDRESS .37Lo1 ('� ��LtJ/S �!, LOTit C� <br /> SUBDIVISION �2r1 D�Z/'t�' PARCEL IDN 3`f-:� I-D/8v-- DODD-��`�a <br /> (OBTAINED FROM GROPERT'TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN Q � DEMOIISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM Q OTHER --� <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK s l�`'�'7� ���f/���� N/�JV��S ��Hc� <br /> BUI�DING SIZE SQ FOOTAGE� HEIGHT � <br /> � UILDING $ /± [a11� CO VALUATION OF TOTAL CONSTRUCTION <br /> (/ !U <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R E C. <br /> Q PLUMBING $ �/�8(�, <br /> QMECHANICAL � VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> v i/�o.�7",�cc.r�on� —� <br /> BUILDER 1� � COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y/N <br /> Addrass `f�.�'S • �/ License# ��:-(J5 77O� <br /> ELECTRICUW COMPANY <br /> S�GNATURE 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/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N <br /> Addrass License# � <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <br /> RESIDENTL4L Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new constniction, <br /> Minimum ten(10)working days afler submittal date. Required onsite,Construction Plans,Stortnwater Pla�s wl Silt Fence installed, <br /> Sanitary FadliGes&t dumpster;Sile Work Permit for subdivisians/large projeds <br /> COMMERCIAL Attach(3)complete sets ot Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w!Silt Fence installed, <br /> Sanitary Facililies&1 dumpster Site Worlc Pertnit for all new projects All cammercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)seLs of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion <br /> Direetions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (AfC upgrades over 57500) <br /> " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized lerier from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front oi Appliption Only) <br /> Reroofs if shingles Sewers Senice Upgredes A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />