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s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> y/��� G� � Building Department <br /> Date Recelved � i p�ne Contact for Permittin <br /> n Ownefs Name �wner Phone Number , <br /> C1 r 1�V 10�Owner's Address �W � W ner���� <br /> �\ J ���• <br /> Fee Simple Titleholder Name Owner Phone Number �— <br /> Fee Simple Titieholder Address <br /> JOB ADDRESS Z I LOT# � <br /> SUBDIVISION ARCEL IDp � ' � � O '� Ov /v <br /> (OBTAINED FROM PROPERTY TAX NOTICE� <br /> WORK PROPOSED B NEW CONS7R 8 ADDlALT � SIGN � Q DEMOL�SH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q � <br /> DESCRIPTION OF WORK � O ( � 1 � ,�VJ��C� <br /> BUILDING SIZE SQ FOOTAGE� HEIGHT �� ` <br /> QBUILDING $ VALUATION OF TOTAI CONSTRUCTION �L,/6� ��,Q� <br /> QELECTRICAL $ j�Uo� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> V <br /> QPIUMBING � 3�33 <br /> QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �� <br /> � � <br /> QGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS LOO ZONE AR QYES NO <br /> BUILDER ✓ �i/�S U �VL) "_�`�-' <br /> 31GNATU GISTERED FEE CURRE� Y I . / <br /> Address ` 3(0�� Uc�aee'� G, ((/(/�� � <br /> ELEC � n'I I ANY W/ � <br /> SIGNA ��'�� �GISTERED N FEE CURRE� Y 1 N <br /> �d.�8 _��� �3�/0��,�� 0 3 <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrets License# <br /> MECHANICAL COMPANY r— <br /> SIGNATURE REGIS?ERED Y 1 N FEE CURRE� Y 1 N <br /> Address License# �- � <br /> OTHER COMPANY � <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Addreas License# � <br /> IIIIIIIIIIIIIIt111111111t11111111111i11111111111111111111111111l111 <br /> RESIDENTIAL Attach(2)Pbt Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuctlon, <br /> Minimum ten(10)wo�lcing days aiter submittal date. Required onsite,Construction P�ans,Stormwater Plans w/Siit Fence installed, <br /> Sanitary Fadlities 8�1 dumpster;Site Work Permit for subdivisions/large proJects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Lite Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. <br /> Minimum ten(10)working deys after submittal date. Required onsite,Construction Plans,Slormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster Site Work Permit for aIl new projects.All commercial requirements must meet compliance <br /> 81GN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for aN NEW construction. <br /> Diroctions:• <br /> Fill out epplication complelety <br /> Owner 8 Contrec[or sign badc of epptication,notarized <br /> If over E2600,a Notice of Commencement is roquired. (A/C upgredes over 57500) <br /> "' Agent(for the contractor)or Power oi Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Onty) <br /> Reroofs i(shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not o�r Counter'rf on puWic roadways..needs ROW <br />