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a���eo-oa2o City of Zephyrhills Permit Application Fax-813-78Q0021 <br /> Building Department � <br /> Date Received � - � Phone Contact f r Permittin 3SZ 3 9B _ ,f'6� 9 „� ��`�Z <br /> �f� e C �� . .. �_. .__.._...___.___.._- : <br /> OwneYs Name ^°,.OwnetPfioneNumber . �_ � <br /> Owner's Address 6 � 3 6 i E VtJ G�, D� Owner Phone Number <br /> Fes Simple TiUeholder Name � Owner Phone Number � <br /> Fee 5imple TiUeholder Addresa <br /> JOB ADDRESS d 7 l �l�4 � I� LOT# -r / <br /> SUBDIVISION �— PARCEL IDk � ��d — Z/� U�1 �'V U J t�0'0 S/ d <br /> (OBTAINED FROM PROPERTY TAX NOTCE) <br /> WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN O � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER N�;.t�.f� L si.r <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK G� y�/! v a�C�C �j u�'� <br /> BUILDING SIZE Z S� �-� � SQ FOOTAGE � � HEIGHT �� <br /> BUILDING $ '1 7� VALUATION OF TOTAL CONSTRUCTION <br /> O� <br /> QELECTRICAL $ AMP SERVICE Q PROGRESS EPIERGY Q W.R.E.C. <br /> .�'`y� ,-� .;��.� �- <br /> QP�UMSING $ t� `,C�Jc.� � � -'7���) �. <br /> 0 ��.�.t"�r t Z -` _ .,. - <br /> MECHANICAL $ VALUATION OF MECHANICAL INSTALLAYI N ""'���� <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD 20NE AREA QYES NO <br /> BUILDER �J V COMPANY !/' C� C.�4 f/ `"�►:+�+.s ,t C��c C� <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address l ,1 � q�� f �� License# > �C D,S6 7 J � <br /> EIECTRICIAN � � COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address Licerese ft � <br /> PLUMBER � COMPANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addreas License* <br /> SIGNATURE L �— � �M�R o Y/ N FEE CURRE� Y/N � <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �i—� <br /> 1 1 t t I I t f 1 1 1 1 1 1 t t I 1 1 f 1 I I I I I 1 1 1 1 1 1 1 I 1 1 1 [ 1 f 1 1 1 t I 1 1 I 1 1 I 1 I 1 1 I / 1 I 1 1 1 1 t 1 1 1 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pemiit for new construction, <br /> Minimum ten(10)workirg days after submittal date. Required onsite,Construdion Plans,Stomnvater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Sife Work Percnit for subdivlsions/large projects <br /> COMMERCIAL Attach(3)canplete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new consVuction. <br /> Minimum ten(10j working days after submittal date. Required onsite,Constructan Plans,Stamwater Plarts w/Silt Fence instal�ed, <br /> Sanitary Facilities&t dumpster Site Wak Permit fw all new projeGS.AII commerciat requir�nents must meet compNance <br /> SIGN PERMIT Attach(2)sets of E�ineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construction. <br /> Directions.• <br /> Fill out application comp�tely <br /> Owner 8 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 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 Sew�ers Service Upgrades A/C Fences(PbUSurvey/Footage) <br /> Driveways-Not over Counter if on public roedways..needs RO W <br />