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s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � _ g ��� •-��.� ��� <br /> Pho�e Contact for Permittin � <br /> Owner's Name �1�-�-�A�� Y�+��-'c� ��1{�Q�}1►-1_'i L:Tp Owner Phone Number €'j��j � �_ �1�� <br /> Owner's Address ��� � -F�cx-5 1�►1u-W 5..�1'� pt-� Owner Phone Number � —1 <br /> � • - - <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address � <br /> JOB ADDRESS c��� VIU.l�k� ��R• � ly� .. �N�T �j'��j`�] LO7# �� <br /> SUBDIVISION 1L�1-L�4i__ �4}�-S . PARCELID# '��' Z(� - Z� ° Ci�jC._ �ZZuG- GC��j <br /> (OBTAINED FROM PROPERTY TAX NOTICE) 0 - � � Q/�' <br /> WORKPROPOSED e NEWCONSTR � ADD/ALT � SIGN � MOVE � DEMOLISH����,J <br /> INSTALL REPAIR <br /> PROPOSED USE Q 5FR O COMM � OTHER T 4:N� � <br /> TYPE OF CONSTRUCTION � BLOCK �, FRAME Q STEEL Q OTHER <br /> DESCRIPTION OF WORK �'���R-��-�AHI��C_. �-� l.v`.ZGy`�y �.A�N�II�C� <br /> BUILDIN(3 31ZE 3Q FOOTAGE HEIGHT �� U�.y.�j <br /> � BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 �,� .�� <br /> � ELECTR�CAL $ �� � AMP SERVICE I�O � PROGRESS ENERGY � W.R.E.0 <br /> � PLUMBING $ N A �� _ <br /> �� <br /> � MECHANfCAL �N� VALUATION OF MECHANICAL INSTALLATION � <br /> 0 GAS � ROOFING � SPECIAL7Y Q OTHER <br /> FINISHED FLOOR ELEVATIONS (� � FLOOD 20NE AREA �YES �NO <br /> � <br /> � �J <br /> BUILDER �(� , COMPANY �`I� �������R �'�' ���� �S�`�C, <br /> SIGNATURE � REGISTERED Y/ N FEE CURRENT Y/N <br /> Address �4%�(_�i S(�. J`��- �QL1yQ..�l�.�5; ,�. :?�3_i�#1 License# ��l�1�77`1� —� <br /> ELECTRICIAN COMPANY <br /> SI6NATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � <br /> License# <br /> PLUMBER COMPANY <br /> SICiNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address � <br /> License# <br /> MECHANICAL CaMPANY <br /> SIONATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address �— <br /> License# <br /> OTHER C6MPANY <br /> SICiNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address <br /> 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. Required onsite,Construc6on Plans, Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge 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 5ite 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 applicatlon completely. <br /> Owner 8 Contractor sign back of applicatio�,notarized <br /> If over$2500,a Notice of Commencement is required. (A!C upgrades over$5000) <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 Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways.needs ROW <br />