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s�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received 5Z .r.�-7 _ 5�(.,�?' <br /> Phone Contact for Permittin - <br /> Owner's Name C-��T�/ O(`r Z�Pfly I f_L-S Owner Phone Number S13"7� `"�ay � <br /> Owner's Address �3�� $T� ST,z-Nru.S, 33s�cz-4 IZ Owner Phone Number <br /> Fee Simple Titleholder Name � Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOBADDRESS ��7 �Al�y R�1�,z�PHYP..�4i[�-S , �, 3354Z-rlc31 LOT# � <br /> SUBDIVISION PARCEL ID# OZ z'�°Z�—���'"������� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEW CONSTR� ADD/ALT � SIGN � � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM � OTHER C GOV <br /> TYPE OF CONS7RUCTION � BLOCK Q FRAME � STEEL Q � <br /> DESCRIPTION OF WORK �EP�C-E�UPG�/�t�E 1O E��ST� NCT V1f���O�tJS' '1 <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT <br /> �BUILDING $ �Z15�' VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> �PLUMBING �—� �� r Q� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> � � I / <br /> �GAS � ROOFING � SPECIALTY � OTHER <br /> FINISHED FLOOR ELE ONS u E FLOOD ZONE AREA �YES NO <br /> BUILDER ���'� `� COMPANY ,� L���� ��ST�Cj 1 OIJ <br /> SIGNATURE ' `A7'N �-s�__._- — REGISTERED Y/ N FEE CURREN Y/N <br /> � <br /> Address PA�F�, �4?4, D�DE CiTy, F� 335Llo--� y �icense# '�� 3(05�{� <br /> ELECTRICIAN COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURREN Y/N <br /> Address License# <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 I 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,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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&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 /> ■ ,�, . <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 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(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />