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e�3-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department �?��� <br /> Date Received 0- p '�Z Phone Co�tact for Permittin ��J �� "' �v/ <br /> Q�� L UGC. Owner Phone Number <br /> Owner's Name <br /> Owners Address J��� 0�� S� Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number ,_ <br /> Fee Simple Titleholder Addreas <br /> y �. � /� <br /> JOB ADDRESS �`'�-1�� � ��e' LOT�f <br /> SUBDIVISION ��� ���"� PARCEL ID� ��"O�"'0�'�� Od7()- �J� �� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED � NEW CONSTR e ADD/ALT � SIGN [� Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION [� BLOCK Q FRAME C7 STEEL Q <br /> DESCRIPTION OF WORK �C�'�� �DO� �" �/�� �D <br /> X� u. <br /> BUILDING SIZE 0 S(i FOOTAGE O�� HEIGHT <br /> �BUILDING a �� �O� �� VALUATION OF TOTAL CONSTRUCTION <br /> �]ELECTRICAL S AMP SERVICE � [� PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING S /V�C� l PASCO PERMIT SERVICE <br /> � Z�=�pl� (813)788-5314 <br /> QMECHANICAL S VALUATION OF MECH NICAL I ST�'LLATION ✓ F��-Sf)6-8�247894 <br /> .3° C�eGC C7�'� <br /> OGAS Q ROOFING Q SPECIALTY Q OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER (�cJ ����G�l, p � "OMPANY C.-��' l.Gvc7'�([G�/�1 ��l•Pl 1LlG � <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> Address (�� ��� N�' � ' / �/ License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> License# <br /> Address <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE REG�STERED Y/ N FEE CURRE� Y/N <br /> License# <br /> Address <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y I N FEE CURRE� Y/N <br /> License# <br /> Address <br /> RESIDENTtAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;RA-W Permit for new construction, <br /> Minimum ten(10)woiicing days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w!Silt Fence instailed, <br /> Sanitary Fadlities 8 1 dumpster;Site Work Pertnit 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 construcrion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciliHes 8 1 dumpster.Site Woric 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 constructlon. <br /> Directions: <br /> Fill out applicaUon completely. <br /> Owner 8 Conhactor sign back of application,notarized <br /> If over i2S00,a Notice of Commencement fa required. (AIC upgrades over i7500) <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 PERMI'TTING (Front of Appilcation Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) <br /> Drfveways-Not over Counter if on public roadways..needs ROW <br />