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aia-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received phone ConUCt for Pertnitting -- <br /> -T_�_Tr�_r _ _ _ f-T-7 i <br /> Owner's Name Owner Phone Number ��'� y � �Q �Q <br /> Owners Address ��(U� lit.�/� / �fe r Owner P/ho`ne,Number �� <br /> Fee Simple Titleholder Name �Q�K � ��,� _ �bFi6er Phone Number �� <br /> Fee Simple Titleholder Address 3�s'ro5 3 W(.¢IC._m �� J��� 1�-/V � <br /> JOB ADDRESS SA r r r LOT# [� <br /> SUBDIVISION f PARCEL ID# �� '���—' " r(/p�,�p7/��G(j(j�j � �� � (J <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw coNS7a e ADD/ALT � SIGN Q � DEMCrLISH <br /> INSTALL REPAIR <br /> PROPOSED USE 0 SFR Q COMM � OTHER —� <br /> TYPE OFCONSTRUCTION � BLOCK Q FRAME O STEEL 0 �� <br /> DESCRIPTION OF WORK f ✓ /`'F C ,� �'J � <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT L.� <br /> TI"1"1"1'7'�TrT <br /> �BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> �ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY � W RE C <br /> �PLUMBING $ �f��� <br /> �CHANICAL $ � %D G' O VALUATION OF MFCHANICAL INSTALLATION / <br /> �GAS � ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> 7 i i �' i i i i i i i 1 i�l..i i.i �I.�i i i 6 7 i 1 i�� <br /> BUILDER COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY ai <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> P�UMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURR[� Y/N <br /> Address License# � —� <br /> MECHANICAL v COMPANY R/��D G�� � � <br /> SIGNATURE REGISTERED Y/ N FEE Cl1RRE� Y/N <br /> Address License# �+l� �Q��D '/ � �j <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> I 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 I 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I I 1 1 1 1 I 1 1 1 1 I <br /> RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submdtal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Faalities&1 dumpster Site Work Permit for subdiviswns/large pro�ects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)sel of Fnergy forms R-0-W Permit for new construdion. <br /> Minimum len(10)work�ng days afler submdtal date. Required onsde,Construction Plans,Stomiwater Plans w/Sill Fence installed, <br /> Sandary Facddies 8 1 dumpster Site Work Permd for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Altach(2)sels of Engineered Plans <br /> ""PROPERTY SURVEY required for all NEW construction <br /> . . . . . y� 4-1-1--1--1—' 4.i�� <br /> Directions:• <br /> Fill out application completely <br /> Owner&Contractor sign back of application,notanzed <br /> If over E2500,a Notice of Commencement is required. (AIC upgrades over$7500) <br /> '* Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized lelter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways needs ROW <br />