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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> ' Building Department <br /> Date Received Phone Contact for Permittin - <br /> Owner's Name �N'?!Z�.-6S ��' �� �,�-C' C_ !l l Owner Phone Number l� � " '3NJ�� 71 �l J <br /> Owner's Address �1��' a-- l��-P' g/}STt3n- �/�- Owner Phone Number � <br /> Fee Simple Titleholder Name � � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS � �!U �� �L fF /i � I l%r1- �G :J �/-//UL S F �- LOT# I C c <br /> SUBDIVISION t.`'rY�c�I�F�.-D �b I �✓'+ � PARCEL ID# <br /> (OBTAINED fROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CoNSTR 8 ADD/ALT � SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK 1 I� � X �� F �'�' /��- �2 �i� �j l-H 13 <br /> BUILDING SIZE �---� g(�FOOTAGE� HEIGHT <br /> OBUILDING $ ( VALUATION OF TOTAL CONSTRUCTION <br /> , �? y'1 � c <br /> �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ i ���2 <br /> -�� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BWLDER �,. ' ,,9 ,-7 .' i� 1 � COMPANY . �i�-za� ,'%.'iLG'Z[_.t'2 <br /> SIGNATURE � i i�'�4;.�L�1-` ��,t'.�2=;�G2�� REGISTERED Y/ N ~ FEE CURRE� Y/N <br /> Address License# <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREA Y/N <br /> Address License# �— —� <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED Y! N FEE CURRE� Y!N <br /> Address License# <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> RESIDENTIAL Attach(2)Plot Ptans;(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,Construc6on Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilitfes&1 dumpster;Site Work Permit for subdiv(sionsflarge 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 consUuction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster.Sfte Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets ot Engineered Plans. <br /> "`•`PROPERTY SURVEY required for all NEW construction. <br /> Directlons: <br /> Fill out application completely. <br /> Owner&Contractor sign back of application,notarized <br /> If over=2500,a Notice of Commencement is required. (AIC upgrades over:7500) <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 Sewers Service Upgrades A/C Fences(PIoUSunrey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />