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a�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received <br /> Phone Contact for Permitting _ <br /> Owner's Name c Owner Phone Number �� — ° Q(Q � (o <br /> Owner's Address 7� p �— 1 L L �t R J� L�� Owner Phone Number —� <br /> Fee Simple Titleholder Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �G� m�, LOT# �j.) "` ' <br /> ��L_J <br /> SUBDIVISION � /� � ��.f�, r 5 PARCEL ID# �' ^— � — �/�Q � D�� ..�! � 3(� <br /> � (OBTAINED F�pROP��EAX�E) DEMOLISH <br /> WORK PROPOSED B NEW CONSTR � ADD/ALT SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK A G �' - � � , �j y�� _ — /3 —— �C c` <br /> BUILDING SIZE C ' <br /> SQ FOOTAGE HEIGHT <br /> Q BUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> 0 ELECTRICAL �$� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � <br /> � PLUMBING $ � <br /> 0 MECHANICAL $ .., VALUATION OF MECHANICAL INSTALLATION <br /> .�,3SS. O <br /> � GAS � ROOFING � SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES �NO <br /> BUILDER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address <br /> License# <br /> PLUMBER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL � �r, COMPANY �CE /� )1e C C IlJ IJ qR E� <- <br /> SIGNATURE ���-`��� �'L-`—Z- e-�-�-�� <br /> REGISTERED N FEE CURRENT Y N <br /> Address �''� �a jY��1Y�p�� � /(� �icense# C f��,l�3�"7'S,s <br /> OTHER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <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)working days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities& 1 dumpster;Site Work 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 construction. <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 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$5000) <br /> " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drivewa - s ROW <br /> �-=• a , ..s•� , �"�'�1 , . <br /> ':.lY'113i'YL 9ft:te: . '•1, � -,,��: <br /> �"�S �). �S� ., , „ �,.�. <br /> Cli.�k y �v: t pa� { � <br /> ;���a:�z 3;+ a �,eirxc�,�:.3:t; �f1h�,�Ye <br /> . $ <br /> ti3tk 7ii1PA4 N:wit�b��isa.'^'�.:�r,F �.?; <br /> ���w�rt�.�y,�-- <br />