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s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received � � - l '�— � phone Contact for Permittin ��� ��� — Q / v <br /> Owner's Name r` gf mD�J Owner Phone Number ���'S4 3^ ��O 4� <br /> Owners Address �0�� �k ��� ��' ��{(t �� Owner Phone Numb¢r � <br /> Fee Simple Titlehoider Name Owner Phone Number � <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS �S� J��� LOT# ( I <br /> SUBDIVISION 1'r�1 vlt[,t/ � ��S PARCEL ID# 7 S'o�S���f°�Q ��'�7�� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEW CONS7R 8 ADD/ALT � SIGN Q Q DEMOLiSH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM 0 OTHER O <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q <br /> DESCRIPTION OF WORK lr' C7 / I�1� I'� („vO�yC�/ '_ I � � C� YL.1 �� � <br /> BUILDING SIZE � SQ FOOTAGE� HEIGHT <br /> BUILDING $ ,sn I/L VALUATION OF TOTAL CONSTRUCTION� p? L� 7 Q' <br /> � \ /y �r � . <br /> QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. <br /> OPLUMBING $ ` <br /> r`� <br /> �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION / � ��---�'"� <br /> �, .��,,,,,,''�., . <br /> OGAS Q ROOFING Q SPECIALTY 0 OTHER <br /> FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY 'e r 4' �� �'''���"�N P ' <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address •� � �C� 2 ��r � S �3 S3� 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 CURRE� 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# C <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,ConsVuction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8�1 dumpster;Site Work Permit for subdivisions/large projects <br /> COMMERCIAL Attach(3)complete sets of Building Ptans 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,Stonnwater 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 Ptans. <br /> "'"`PROPERTY SURVEY requi�ed for all NEW consUuction. <br /> Directions: <br /> Fill out application completely. <br /> Owner&Contractor sign back of applicaGon,notarized <br /> If over E2500,a Notice of Commencement7s required. (AIC upgrades over;T500) <br /> "' Agent(for the conVactor)or Power vf Attomey(for the owner)woUld�be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Fr�nt of Application Only) <br /> Reroofs if shingles Sewers ServicsLlpgrades A/C Fec►cQS(PIoUSurvey/Footage) <br /> � . ,e Y <br /> Driveways-Not overyCount���f oR:public roadways;nasdB,R�W <br /> , ` ' � „ � <br /> , „''- b <br /> �,,.�.��»�,.,.w.....----+-�_....�.,,,....M� <br />