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's�3-�ao=oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received Phone Contact for PermitUn - <br /> Owner's Name h r �haCF��r Owner Phone Number �� ��r��- of.5 y <br /> Owner's Address 52.Z�D `7'h� Z� Y���� 3�y Owner Phone Number �3I�� 3��'- y 9�3 <br /> Fee Simple Titleholder Name Owner Phone Number C <br /> Fee Simple Titleholder Address <br /> JOBADDRESS �ZZ� "/' h�• � Yhl I IS 33�J�'I Z LOT# �1� / � /-�� <br /> SUBDIVISION h �'� � PARCEL ID# �[ "'2�O�2��DO JO'-�BZtaD'- d/�O <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED e NEw CONSTR e ADDlALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER �— <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q C <br /> DESCRIPTION OF WORK ���C J�� ` Z�(/ r?/J�D�.., � C�° l`� � <br /> BUILDING SIZE �LI SQ FOOTAGE � � HEIGHT {� <br /> BUILDING $ � Y _. �' VALUATION OF TOTAL CONSTRUCTION �_ <br /> \ _ ---�_---------... / <br /> QELECTRICAL $ AMP SERVICE Q f`PROGRESS ENEF�GY Q W.R.E.C. <br /> Il"�f� N/�� �� <br /> OPLUMBING $ / �f L / i ,� <br /> \ �� <br /> QMECHANICAL $ VALUATION OF MECHANICAL IN TALLATION ��'� �% � {`� <br /> � <br /> OGAS 0 ROOFING Q SPECIALTY Q OTHER n �� <br /> U ' <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � '� <br /> BUILDER �+ Q �j COMPANY �' /�1 d i S ��L°Y <br /> SIGNATURE (�'��i ���!�� REGISTERED / N FEE CURRE� Y/N <br /> Address ' License# � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERE� Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# C <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fo►ms;R-O-W Permit for new construcdon, <br /> Minimum ten(10}working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facililies 8�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 inslalled, <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 8 Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) <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 if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not ove�Counter if on public roadways..needs ROW <br />