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lication Fax-813-780-0021 <br /> s�3-�so-oozo City of Zephyrhills Permit App� <br /> Building Department <br /> � � �, f{3 __ �6 3i� <br /> Date Received � �- � Z Phone Contact for Permittin '� r, 1,�� <br /> � ' -�, Owner Phone Number � � � <br /> Owner's Name �C��� ��v� �� ! � � � <br /> .. S f � � /� �.S� <br /> , � ���� Owner Phone Number � <br /> Owner's Address � ' �PJ>'2 t� <br /> Owne�Phone Number �— <br /> Fee Simple Titleholder Name �� �� � � � � � <br /> �2 . 3�� Z-- <br /> 533�� d''� 1�% " %! -�`,�.r.�' � <br /> Fee Simple Titleholder Address LOT# <br /> JOB ADDRESS �7 �t SI <br /> PARCEL ID# C'L`Z <br /> ,- �I • C��� L�:�4�� -C,0"7� <br /> SUBDIVISION �OBTAINED FROM PROPERTY TAX NOT10E) <br /> e NEW CONSTR� ADD/ALT �� <br /> SIGN Q � DEMOLISH <br /> WORK PROPOSED INSTALL REPAIR <br /> COMM �� OTHER � 'z•�/'tIN� f_,(�� t ' '. <br /> PROPOSED USE � SFR 0 STEEL Q <br /> TYPE OF CONSTRUCTION � BLOCK Q FRAME � <br /> ' � L yy � G� G - !1� <br /> �Y.L �-y1 e��s�cu- �t- � <br /> DESCRIPTION OF WORK �JA <br /> BUILDING SIZE N� SQ FOOTAGE � <br /> HEIGHT �� <br /> �BUILDING $ �, j��� VALUATION OF TOTAL CONSTRUCTION <br /> PROGRESS ENERGY a W R.E.C. , <br /> AMP SERVICE C� '� <br /> �ELECTRICAL $ (�?'J' <br /> j,�I 3� �" � '/� z,��-�-- ������_ <br /> �PLUMBING $ "" � ( J �-f� K"S l"-� <br /> � G�� L.J <br /> VALUATION OF MECHANICAL INSTALLATION �h� G,�J l <br /> �MECHANICAL � �-� <br /> �5�-�-� <br /> � SPECIALTY � OTHER � <br /> GAS � ROOFING � <br /> � FLOOD ZONE AREA �YES NO ��� ���'AC. <br /> FINISHED FLOOR ELEVATIONS <br /> � � ' �COMPANY ��`1 GC✓�t.'L� �v�l� IN ' <br /> BUILDER � REGISTERED Y/ N FEE CURRE� Y I N <br /> SIGNATURE t,�,,v.� License# ^•�?e' Z- � <br /> Address <br /> COMPANY <br /> ELECTRICIAN REGISTERED <br /> Y I N FEE CURREt� Y/N <br /> SIGNATURE <br /> License# <br /> Address <br /> COMPANY FEE CURRE� Y/N <br /> PLUMBER REGISTERED Y/ N <br /> SIGNATURE License# <br /> Address <br /> COMPANY <br /> MECHANICAL REGISTERED <br /> Y I N FEE CURRE� Y I N <br /> SIGNATURE <br /> License# <br /> Address <br /> COMPANY Y/N <br /> OTHER y/ N FEE CURRE� <br /> REGISTERED <br /> SIGNATURE <br /> License# <br /> Address <br /> � � � � � � � � � � � � � � � � ' ' , ' ' ' ' 'u Idin1 Plans;(1)set of Ene gy Forms,R-O-W Perm t for new construction,' ' t ' ' ' t ' ' <br /> RESIDENTIAL Attach(2)Plot Plans,(2)sets of B 9 <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installe , <br /> 1 set of Energy Forms.R-O-W Perm�t fc�netiv construction. <br /> Sa�itary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projec s <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;( ) <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installe , <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 rades over$7500) <br /> If over$2500,a Notice of Commencement is required. (AIC upg <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(PIoUSurveylFootage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />