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a�s-�eo-oo20 �� <br /> City of Zephyrhills Permit Application �`2���3 Fax-813J80-0021 <br /> Building Department <br /> Date ReceS�,ed <br /> '� Phone Contact for Permittin <br /> Owner's Name �� C��>>y�' Owner Phone Number <br /> Owngr's Address C� � �? . �Y',/� v,4'� <br /> Owner Phone Number <br /> ����4/-�,�1�� ,�� �� � <br /> Fee Simple Titl�iolder Name i't/�� �fi"""'� • � pWner Phone Number <br /> Fee Simple Titleholder Address C� '7` y� ��, /rYj a� � %? ll��' �) <br /> L- <br /> JOB ADDRESS �� <br /> LOT# <br /> SUBDIVISION PARCEL ID# � �� Z �d ��� ��Z 2l- <br /> (OBTAINED F�RO�M pROPERTY TO ricE)DEMOLISH <br /> WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK � ,/F�,��iy� �� � �1���.,� � <br /> �/ �< <br /> BUILDING SIZE SQ FOOTAGE C._.� <br /> HEIGHT <br /> OBUILDING $ <br /> VALUATION OF TOTAL CONSTRUCTION <br /> [�ELECTRICAL $ � �� AMP SERVICE �— � � � <br /> PROGRESS ENERGY,� Q W.R.E.C. <br /> OPLUMBING $ <br /> [�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���/ <br /> � � <br /> OGAS Q ROOFING Q SPECIALTY <br /> [_] OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA <br /> QYES NO <br /> BUILDER <br /> SIGNATURE COMPANY <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> ELECTRICIAN COMPANY G �� � �'�C <br /> SIGNATURE REGISTEREO Y 1 N <br /> l FEE CURRE� Y/N <br /> Address /��3� ..��L��/V � �r, �,, �S� / � �>��`��7 , > <br /> License# � �� <br /> PLUMBER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> License# <br /> MECHANICAL COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER COMPANY <br /> SIGNATURE <br /> REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 Pians w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster;Site Work Permit for subdivfsions/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 construcUon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wJ Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> 51GN PERMIT Attach(2)sets of Engineered Plans. <br /> ""'PROPERTY SURVEY required for all NEW consUuction, <br />)irections: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is requlred. (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 />�VER THE COUNTER PERMITTING (Front of Application Only) <br /> teroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />