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8�3-�8�-�02Q City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> -��3a�� <br /> Date Received � 2- —�_� y �� f <br /> Phone Contact for Permittin �j <br /> � <br /> Owner's Name u'l �+—"Tw�L� ��� Owner Phone Number S/ 3 -7 3-3Go z <br /> Owner's Address / 33 � ,� C U Owner Phone Number <br /> Fee Simple Titlehoider Name Owner Phone Number <br /> `�. <br /> Fee Simple Titleholder Address ~� <br /> JOB ADDRESS ��J �� � 2�_ h (�F��l�' �, LOT# �� <br /> SUBDIVISION `3 <br /> PARCEL ID# 3 2,� 3�0 �3� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> VMORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN �" � DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM �� OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME �_] STEEL 0 c tq�,ti,N���p <br /> DESCRIPTION OF WORK � -�,q1,1 �y„ r'j, �� <br /> BUILDING SIZE � SQ FOOTAGE� H <br /> �BUILDING $ <br /> VALUATIO OF TAL CONSTRUCTION '�((�,bp <br /> OELECTRICAL $ AMP SER C PR ERGY � W.R.E.0 <br /> QPLUMBING �� �, f- / C-�,n�,,,�C.„`�,,, <br /> � �� ��f 'll r y � ��I U�-� <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ( �' )� �I�l�� "-1 -' <br /> U <br /> OGAS Q ROOFiNG Q SPECIALTY C] OTHER � ��` �� _ 'D� <br /> QYh <br /> f <br /> FINISHED FLOOR ELEVATIONS �'��"� �� ND• r�1"``" <br /> FLOOD ZONE AREA QYES NO <br /> BUILDER ��' COMPANY �f Sl NS � li4C�jy�c:-s' <br /> SIGNATURE �Y�q� v REGISTERED Y/ N FEE CURRE� Y/N <br /> Address �"I Pi A� E J�/, G 3�s'G ' License# Z Z,3 <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# <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 dumpster;Site Work Permlt for subdivisionsAarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facflities&1 dumpste�.Site Work Permit for all new projects.All commercial requirements must meet compliance <br /> SIGN PERMIT AttBCh(2)sets of Engineered Plans. <br /> "'*"PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out.application completely. • <br /> Owner&Contractor sign back of application,notarized <br /> If over s2500,a Notice of Commencement is required. (A/C upgrades over a7500) <br /> " Agent(for the contractor)or Powe�of Attomey(tor 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(Plot/Survey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />