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s�3-7ao-oo20 � City of Zephyrhills Permit Application Fax-813-78U-�U11 <br /> Building Department <br /> Date Received � "`� � .. phone Contact for Permitting -- <br /> Owner's Name l�V�,�.�.� ��. �t �.C C°w� '�''P'``�� Owner Phone Number �3��9 7' �u7 7 <br /> Owner's Address Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number� <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �1 a 1�l 1 C�""'�"� V``� � LOT# C� <br /> SUBDIVISION PARCEL ID# � 1"�6"��` dO �O —OaD00- oo3a <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT [� SIGN Q MOVE [� DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK 0 FRAME � STEEL Q OTHER <br /> DESCRIPTION OF WORK 1�J�IP Pd J Q� PO�t <br /> BUILDING SIZE SQ FOOTAGE HEIGHT C� <br /> 0 BUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> � ELECTRICAL $ —1� � , �J AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. <br /> � � <br /> 0 PLUMBING � . � �Cf,� <br /> 0 MECHANICAL $ VALUATION OF MECHANICAL INSTALLA�fION <br /> � ��/,� f <br /> \ <br /> \ <,_.,.,_,_.... <br /> 0 GAS 0 ROOFING � SPECIALTY Q OTHER � ` - <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ��NO <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# <br /> ELEGTRICIAN �(1 _ �,(� _ _ COMPANY �2R.�t.. �o.(: i.. �vl�G <br /> SIGNATURE ••��� � `"' � REGISTERED Y I N FEE CURRENT Y/N <br /> Addres� ��K. � �- �j 3 License# ���� <br /> PLUMBER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE GURRENT Y/N <br /> Address License# � <br /> RESID�NTIAL 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpste�;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lffe 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 instatled, <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 applicaiion completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (AIC upgrades over 55000) <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 Applioation Only) <br /> Reroofs Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />