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s�s-�so-oazo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department � <br /> Date Rece7ved �... -- /� phone Contact for Permitting Yl3 r�� __ L(,3-26 <br /> Owner's Name �� Owner Phone Number ,3�1i"' /7�1'���/ <br /> Owner's Address .J��i�� C r Y�• Owner Phone Number � <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ,s G aP (- /' Z It r/11/1�`S. /'�� 3 3s y-z LOT# � <br /> SUBDIVISION � �� l/7o'al: PARCEL ID# /�i7le-' aI�����'B�BAO-fJ•tSd <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONSTR B ADD/ALT Q SIGN � MOVE Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE � SFR � COMM Q OTHER <br /> TYPE OF CONSTRUCTION 0 BLOCK 0 FRAME Q STEEL Q OTHER <br /> DESCRIPTIONOFWORK �CD �Q�.9n /`�'? �G# /3..5-i�/.,S' <br /> BUILDING SIZE � SQ FOOTAGE HEIGNT <br /> 0 BUILDING $ / r 3� �� VALUATION OF TOTAL CONSTRUCTION <br /> Q <br /> � ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> 0 PLUMBING $ � r 2��3 <br /> l � <br /> Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �`�lti z ' / <br /> t> <br /> � GAS 0 ROOFING 0 SPECIALTY Q OTHER � �r ��� 3 ,,,� <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES QNO P u���(� � <br /> � ,2��n/�2_ <br /> BUILDER �� `-� ('�.� � COMPANY ri.°G!�lbh �r f�I'• <br /> SIGNATURE �C � REGISTERED Y/ N FEE CURRENT Y!N <br /> Address lJ�rh ` ,(�i�� �w/`�L -�7� License# CQC�e2S�/6 <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRENT Y/N <br /> Address License# � <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence instalied, <br /> Sanitary Facilities 8 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,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 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 8�Contractor sign back of application,notarized <br /> If over$2500,a Notice of Commencement is required. (A/C upgrades over 55000) <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 Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> �riveways-Not over Counter if on public roadways..needs ROW <br />