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s�a-�so-oo2o City of Zephyrhills Permit Applic �} � Fax-813-780-0021 <br /> Building Department I�j�U ' ` <br /> t <br /> Date Received � � - _,\ ` <br /> Phone Contact for Permlttin _ <br /> Owner•s Name �'/��.5 �� � ��3 � _ �� <br /> Owner Phone Number <br /> �.6 LZ/ �/���T �.✓ � .s' ��r <br /> Owner's Address /"� Owner Phone Number <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> J08 ADDRESS 3 / 7��- (.,.'�'+.�I �lZ., I�✓ ���/�f�j�/ `, �'�'� LOT# � <br /> SUBDIVISION , PARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK FRAME �� STEEL Q <br /> DESCRIPTION OF WORK p�CS�� /¢' (f�� �P/?l.lC• ,�,$ OL� <br /> eUILDING SIZE l(JX I� A��/y� SQ FOOTAGE G'7% HEIGHT I D / <br /> QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION <br /> l� � <br /> QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W,R.E.C. <br /> QPLUMBING $ ��� <br /> S� - 2 5�/��7 <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> GAS � ! ��� � <br /> C� Q ROOFING Q SPECIALTY � OTHER ��_f ' �_ ��� <br /> FINISHED FLOOR ELEVATIONS F�L�D ZONE AREA QYES NO `i� i <br /> \J �,,p f '�''C e I �.. <br /> U'�- T <br /> BUILDER /� COMPANY ��%�c-, <br /> SIGNATURE C REGISTERED Y/ N FEE CURRE� Y/N <br /> Address ' License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREP Y/N <br /> Address License# �— <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 Llcense# �— <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)woricing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> San(tary FaciNties&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,Constructlon Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Pem►it for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""PROPERTY SURVEY required for ali NEW construcUon. <br /> 1�II117TIR If�Ilr�I� <br /> Directions. 'J'`'`j"'""'�� <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 ove�s7500) <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 Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />