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a�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � phone Contact for Permitting �� .- �� <br /> 1 1 1 1 1 1 1 1 1 1 1 i 1 <br /> Owner's Name � �3DG7 -�" �S/�13 � Owner Phone Number CJ� 7J� �� � � <br /> Owner's Address J ( 1��� Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number � —� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � 6 ( V "�"r ^C v�+ L��12. F-�j��.s. 7�p� LOT# � <br /> SUBDIVISION �V� �-G✓1�-'�'7� PARCEL ID# � �-��-�I � �d c�l� ' ��� �j�'� <br /> (OBTAIPED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR 8 AD /ALT � SIGN � � DEMOLISH <br /> INSTALL RE <br /> PROPOSED USE �, SFR � COMM � OTHER <br /> TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL � <br /> DESCRIPTION OF WORK ��5��-�- ��V (� 1�— `'UR� 1�,�,)Q�i'�G�� `„� �'� , <br /> BUILDING SIZE � � SQ FOOTAGE� HEIGHT <br /> OBUILDING $ G��� VALUATION OF TOTAL CONSTRUCTION <br /> 1 <br /> �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0 <br /> ,--� `y, ~� - ,.- i <br /> �PLUMBING $ � �� ,/��; L ✓��. <br /> OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��f �l I ( <br /> QGAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER � �� ��COMPANY L�� ��C • <br /> SIGNATURE v REGISTERED N FEE CURREN /N <br /> Address � ��� �S �� I� � ��O License# �� .J C1 �G�7� <br /> ELECTRICIAN � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# r— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �— <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y!N <br /> Address License# �— <br /> OTHER � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# �— <br /> 1111111111111111111111111111111111111111111111111111111111111111111 <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,Construction Plans,StoRnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Sile 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 Perm�t 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&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 E2500,a Notice of Commencement is required. (AIC upgrades over 57500) <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 if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />