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s�saao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 <br /> , Building Department <br /> Date Received � �+l'3 '� _ <br /> Trrr rT <br /> Phone Contactfar Permittin a <br /> Owner'sName ✓k, N4X SGtik��/�" OwnerPhoneNumber V�3'S7�i 7 <br /> Owner's Address � — YqC�P$ 1!✓M �j¢ � �a Owner Phone Number �� <br /> Fee Simple Titleholder Name Owner Phone Number �� <br /> Fee Simple Titleholder Address � <br /> ��J <br /> JOBADDRESS ��1 TPvlTWr7O Oc� LOT# [� <br /> SUBDIVISION S�I V(�✓ Oi��S Q��f' PARCEL ID� D 3�-2G"� � —���"QoQpQ —�2 2� <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED e NEw CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Q SFR Q COMM � OTHER � <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q �—� <br /> DESCRIP710NOFWORK ,Q � v�q QQLrj S7�mt �,Z.p �.f�i �1��,�� <br /> BUILDING SI2E SQ FOOTAGE� HEICaHT � <br /> ��3UILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> /f l�o.ov <br /> QELECTRICAL $ AMP SERVICE O PROGRESS ENERGY Q W.R.E.C. <br /> �PLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COM PANY —� <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address <br /> 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 CURREI. Y/N <br /> Address �� License# —� <br /> OTHER (� �� (� / OMPANY �{�tN� Dpp�('�p G f ! �¢YN�rQ—� <br /> SIGNATURE Kpk.�� DI7t.��I'�, REGISTERED Y I N FEE CURRE� Y/N <br /> Address 1"7�t /}A>uP�w(►wr.d d.11dw�nrlK.3�2Y License# �Ob/�v3 � <br /> 1111111111111111111111111111111 11111111111111111111111111111111111 <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new consVuction, <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilihes&1 dumpster;Site Work Pertnit for subdivisions/large 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 construdion. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, <br /> Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requiremenLS must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> ""PROPERTY SURVEY required for all NEW construdion. <br /> Directions: <br /> Fill out applicaGon completely <br /> Owner 8 Cantractor sign back of application,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C 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(PlobSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />