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s�s-�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Received f���� 3 Phone Contact for Permitting �G j tp �w � __ � <br /> � � � � � � � � j 1 1 1 1 1 <br /> Owner's Name `�ka�5 �Q C Qn G�Z�.L '7l S—�-(3 J� <br /> �T• Owner Phone Number ��3 <br /> Owner's Address J � (r3 �'�$t� a Vr. Owner Phone Number � <br /> Fee Simple Titleholder Name �— Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS ��� S6�S�'^'C �� LOT# � <br /> SUBDIVISION �Q-��`'j f' �Gt�R� �'� PARCEL ID# �2-ZL��-i '�'�'0�[� '- U¢7"ZO�— . <br /> O�8 v <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NEw CONSTR� ADD/ALT � SIGN Q � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR � COMM � OTHER <br /> TYPE OFCONSTRUCTION O BLOCK � FRAME � STEEL Q <br /> DESCRIPTION OF WORK '�-Q ��-�.-° �`"L"'� �t�d�-�S S�� 2-� tZof- 5�Z{ <br /> BUILDING SI2E SQ FOOTAGE� HEIGHT <br /> QBUILDING $ / �,.Z �--��Q VALUATION OF TOTAL CONSTRUCTION <br /> _� <br /> QELECTRICAI $ AMP SERVICE Q PROGRESS ENERGY � W R.E.0 <br /> OPLUMBING $ � � � � � � <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> �GAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO <br /> BUILDER COMPANY ��� �ll ��5. �c��S� L, �� • <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURREl. 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# <br /> Illlllllltlllllllllllllllllllllllllllllllllllllllllllllllllllllllll <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 installed, <br /> Sanitary Facilities& 1 dumpstei,Site Work Permit for subdivis�or�s;large prcjects <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 wl Silt Fence installed, <br /> Sanitary Facilities&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 /> D�rect�ons.• <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 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 if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />